1016 
DEPARTMENT OF SURGERY. 
completed a little whitish foam gathers around the needle, and 
after a few seconds the needle is removed and the eyelash taken 
up with a pair of forceps. If it cannot be extracted without 
traction, the needle must again be applied to the root until the 
lash can be removed without resistance. When the root is en¬ 
tirely destroyed the eyelash is loose and can be removed with¬ 
out resistance, and will be permanently destroyed. The opera¬ 
tion leaves no cicatrix and does not disfigure the eyelid ; for 
this reason it is the most reliable method of removing cilia. 
(c) Scalping is a method of removing cilia by excising the 
entire ciliary border. In human surgery, scalping was often 
used, but has fallen into disuse during the last few years ; the 
cause for this is the hideous disfigurement of the eyelid which 
always follows. 
‘The instruments required are a pair of forceps ; fine scalpel ; 
fine curved needles ; fine silk ; lid-plate. 
Operation. —The lid-plate is placed between the lid and the 
eyeball ; the thumb of the left hand is used to pull the skin of 
the eyelid back, exposing the ciliary margin ; make an incision 
in the ciliary margin as deep as the ciliary bulb ; then make an 
incision behind the eyelashes and remove them with the tri¬ 
angular strip made by the two incisions. This strip must in¬ 
clude all the ciliary bulbs, and can be held by a pair of forceps 
and dissected out with the scalpel. After the strip with all the 
bulbs is removed, the wound is thoroughly washed and sutured 
with fiue silk stitches, which are allowed to remain in place for 
four or five days. 
After-care. —The eye should be bandaged for the first three 
or four days ; the wound examined every day, and dressed with 
dry absorbing dressings. If the stitches become infected the in¬ 
fected ones must be removed, and if necessary new ones applied 
to prevent gaping and bring the skin and conjunctiva in ap¬ 
position. The operation always leaves a disfigured eyelid. 
(To be continued.) 
SURGICAL ITEMS. 
“Neurotomy ” and “NeurectomyA —Why has the word 
“ neurotomy ” become obsolete in our literature ? A few years 
ago “ neurectomy ” was seldom used, while to-day it is in uni¬ 
versal use. Literally neurotomy implies division or dissection 
of a nerve, while neurectomy cannot be defined as anything less 
than the total ablation of a whole nerve, unless qualified by 
