— 29 — 
up through the body £rom the opening in the le£t flank. The 
commonest injury to the heart is, as we should have expected, a 
complète opening up o£ the left auricle or often o£ both auricles : 
but in many cases great gashes are found in one or both ventricles. 
I was considerably surprised to find that the cavities of the 
heart were in many cases tightly stuffed with mud or a mixture 
o£ mud and sawdust. In several cases it was not altogether clear 
how this packing material could have been introduced, especially 
when we take into considération the £act that the manipulation 
w^as ail done through the left flank. It seems probable that the 
wounds accidentally made in the heart were employed for intro- 
ducing this material, but there is no means of proving this. 
There is, however, another possibility. The heart is usually 
stuffed A^'ith mud like that employed for the neck — material that 
is never employed for filling the body cavity. If the body were 
placed in the reversed position for stuffing the neck (as I suggested 
earlier in this memoir) the heart, behig at that time presumably 
soft and flabby, w^ould have dropped into the neck cavity and 
become stuffed at the same time as the neck. The heart might 
have become filled in this manner and then have been replaced 
in the thorax when the plug of linen was being put in the 
thoracic inlet. 
The Treatment of the Pudenda. 
AU the men without exception had been circumcised ; but in 
the case of the women it was not possil)le to express any certain 
opinion in regard to the possibility of circumcision having Ijeen 
performed for the reason that, in the o})eration of excising the 
pelvic viscera, the labia majora were the only parts of the vulva 
left. 
In the men the pénis and scrotum were painted red like the 
rest of the body and as a rule were wrapped separately froni the 
