408 Removal of part of the Liver. 



allowance be made for the size of the wound being diminished 

 by the contraction of the abdominal muscles, and for the pro- 

 truded portion becoming congested. 



It is unnecessary here to allude to wounds of the abdomen 

 generally, or of the liver in particular, (for in this case the 

 liver does not seem to have been wounded,) or to the extra- 

 ordinary recoveries from almost every variety of them. Such 

 cases are innumerable. 



It has long been known, from the experiments of one of the 

 Munros, that rabbits have suffered very little from having por- 

 tions of their livers cut off. It was also known, that patients 

 live for years after the loss of very considerable portions of 

 liver by hepatic abscess, and may exist for months, with the 

 whole liver converted into a mere cyst ; but the actual re- 

 moval of a considerable portion of the liver from the human 

 subject, with so very little constitutional disturbance, even 

 allowing for the patient being a native, is a fact of consi- 

 derable interest in medicine and in physiology. 



I may add, that the patient complained of a good deal of 

 pain when the surface of the liver was touched, but that cut- 

 ting through its substance hardly caused him any. 



The old man appeared two months after, as prosecutor in 

 his own case: he was in perfect health; there was a little 

 puckering in of the skin about the wound, and the liver was 

 evidently adherent beneath. 



Lithiasis ; its endemic origin in the geological nature of the 

 soil, and its connection with the formation of the osseous 

 system. By John Macpherson, M.D. 



According to the researches of Dr. Heusinger, lithiasis pre- 

 vails throughout some of the more recent calcareous forma- 

 tions : for instance, 1. In the part of Russia, which belongs 

 to the chalk formation. 2. In the North East of England, 

 on the chalk formation. 3. In Germany, within the range 



