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131 orbits, and had no mobility whatsoever; they therefore had the great defect of a fixed stare, and almost always necessi- tated the removal of part of the globe by operation. Trials had subsequently been made, in order to adapt the above-mentioned form to pretty large remains of the eyeball, but the margins constantly fretted the parts, caused abundant purulent secretion, and proved very inconvenient. M. Boissonneau was then struck with the idea that it was incumbent upon the enamel modeller to shape and adapt the artificial eye to any form which the globe of the lost organ might have retained, thus avoiding an operation, and gaining for the artificial organ all the mobility which the subjacent globe, aided by the play of the lids, must inevitably give it. After more than ten years trials in France, Holland, and all I Germany, he had succeeded in regulating the forms, classi- fying them, and introducing order and scientific sequence in a hitherto neglected branch of art. We thus perceive that the afflicted have been great gainers by M. Boissonnean’s labours, for they escape pain, the simi- larity is perfect, and the mobility surprising. They can adapt and take off their artificial eyes with ease, and these are even so accurately adapted that they cannot be wrongly put on. We understand, also, that M. Boissonneau uses a kind of enamel, with metallic bases, which is extremely enduring. As it is unfortunately but too often the case that the sur- geon is compelled to declare himself incompetent as to restor- ing an eye which has either by accident or disease been dis- organized, it is consoling that he has at hand such admirable substitutes, which will at least save the patient from carrying with him a deformity which is ever of a melancholy a -character. foreign Department. A New Treatment of Prolapsus Uteri. M. DESGRANGES, surgeon to the Lyons Hospital, has lai,l before the Academy of Medicine of Paris a new mode oi remedying the uterine displacement. It consists in pinching up the mucous membrane of the vagina, after reduction, with little forceps, or serre fines of Vidal. The forceps produce ulceration, and fall off from the fifth to the tenth day; and M. Desgranges repeats this operation eight or ten times, taking <care always to leave as many of the forceps as possible. At the commencement of the treatment, he introduces as many as nine; later, from six to four; and at last, towards the end, only one of the little instruments. The treatment lasts in general two months and a half, or three months. It will be seen that this method rests on the fact that the narrowing of the passage may prevent any further descent of the organ, the loss of substance and cicatrization being instru- mental in the result. M. Desgranges adduces three cases in support of his views, and the operation might at first sight be looked upon as holding out a fair chance of success; but it should be borne in mind, that by the coarctation of the canal. none of the weight of the displaced body is diminished; and that constant pressure from above may certainly conduce to the elongation of the cicatrices. - For assisting the memory of our readers, we shall just transcribe the various analogous operations which have been proposed, as given in a very good article of the Bulletin de Th&eacute;rpeutique :&mdash; " 1. Excision of a few folds of the vaginal orifice, as prac- tised by Dieffenbach, in imitation of Dupuytren’s mode of excising some folds of the margins of the anus in prolapsus of the rectum. " 2. Excision of a broad longitudinal flap of the mucous membrane of the vagina, either elliptical (Dr. Marshall Hall) or square (Dr. Ireland), and the immediate apposition of the lips of the wound by suture. " 3. Cauterization of the mucous membrane, so as to harden the tissues by suppuration, and obtain union between the walls of the vagina and the surrounding organs (Laugier). "4. Excision of a semicircle of the vaginal orifice, and immediate apposition by suture, in acting either on the ante- rior or posterior circumference. " 5. Episioraphy, practised by Fricke, of Hamburg. This consists in paring the inner surfaces of the labia majora, and bringing them together by suture. " 6. Complete obliteration of the vagina, proposed by M. Romain Gerardin. This operation has never been practised upon the living subject, and could hardly be thought of before the cessation of the catamenia." I Tetanits treated by Chlorofm’m ,Friction8. L’ Union M&eacute;dicale.states that M. MORISSZAU, surgeon to :the hospital of La Fleche," succeeded in saving a patient seized with tetanus, by using frictions of chloroform all over the body. M. Morisseau had, in two cases previously treated, tried, iin one venesection and opium, and quinine in the other: both had failed; and he had thus been induced to make attempts with chloroform. A few acidulated vapour-baths, and frequent frictions with the ansesthetic agent, brought on recovery m the space of four days. ____ Hern.ia of the Iris; rapid Retraction by tlae Use of Atropine on both Eyes. The P7tiladelphia Medical Examiner mentions a case of wound of the cornea, under the care of Mr. Morehouse, where the iris was herniated. Attempts at reduction were made by touching the prolapsed iris with a solution of atropine, (five grains to the ounce of distilled water,) but with little result. Mr. Morehouse then thought of taking advantage of the consentaneous action of the two irides, and applied the solution to both eyes. This method succeeded at once, the iris retreated, and the wound of the cornea soon healed up. - Peruvian Bark in Algeria. Jesuit missionaries in Peru have lately sent saplings of the cinchona tree to some of their community who are farming in Algeria, and trials will be made to cultivate the tree in the French colony. Doubts are entertained as to the success of the attempt. Hosp&iacute;tal Reports. STAFFORDSHIRE GENERAL INFIRMARY. (Reported by G. BELLASIS MASFEN, Esq., House-Surgeon.) A ooplexy and Rupture of the .S’pinal Cord from a fall; Para- lysis of the Trunk and Members. T. R-----, aged thirty, was brought to the Innrmary at seven PM., Sept. 25, in a state of complete paralysis, and placed under th care of Mr. Hughes. On the 23rd inst., being intoxicated, he had fallen on his head, from 1. loft, and was found lying on the ground, shouting vehemently. He had lost the use of both arms and legs, though on his first admission he was able to use the deltoid muscles slightly, so as to raise the arms; he had not passed urine nor faeces since the accident. The whole of the trunk and extremities was almost devoid of feeling, but he was per- fectly conscious, and answered questions readily. He com- plained of great thirst: pulse slow and laboured; the surface cold and clammy. There was a jagged wound of the scalp about the middle of the coronal suture, and a slight projection opposite the spinous process of the second dorsal vertebra. The catheter was passed, and about three pints of highly ammoniacal urine drawn of. Suspecting apoplexy of the cord, Mr. Hughes ordered him to be cupped to six ounces over the site of the supposed spinal injury; to have a turpentine enema; three grains of calomel, with two grains of extract of colocynth, every hour until the bowels were acted upon; and an effervescing draught occasionally. Sept. 26th.-Twenty minutes past four A.M.: Complained of great sensation of fulness about the abdomen, and repeatedly said he should burst. About four ounces of thick, dark urine drawn off by the catheter. Ordered, calomel, three grains; croton-oil half a drop to be taken every hour; at the same time the surface of the abdomen was well rubbed with mercurial and camphor ointment.-Eight A.M.: No motion had as yet taken place; the enema had not come away, and the sense of fulness was becoming more distressing. The catheter was again passed, and a flexible tube introduced into the rectum, which brought away a considerable quantity of flatus, giving slight relief, but no stool. Three quarts of warm soap and water were then thrown up, which brought away the turpentine enema, and a small quantity of f&aelig;cal matter. Twelve noon: Galvanism was applied from the hands to the feet of the same side, across the abdomen, and across the hips. The symptoms continued to aggravate, the pulse became more feeble, a cold sweat broke out on his face, and he gradually sank at half-past two P.M.

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131

orbits, and had no mobility whatsoever; they therefore hadthe great defect of a fixed stare, and almost always necessi-tated the removal of part of the globe by operation.

Trials had subsequently been made, in order to adapt theabove-mentioned form to pretty large remains of the eyeball,but the margins constantly fretted the parts, caused abundantpurulent secretion, and proved very inconvenient.M. Boissonneau was then struck with the idea that it was

incumbent upon the enamel modeller to shape and adapt theartificial eye to any form which the globe of the lost organmight have retained, thus avoiding an operation, and gainingfor the artificial organ all the mobility which the subjacentglobe, aided by the play of the lids, must inevitably give it.

After more than ten years trials in France, Holland, and all IGermany, he had succeeded in regulating the forms, classi-fying them, and introducing order and scientific sequence ina hitherto neglected branch of art.We thus perceive that the afflicted have been great gainers

by M. Boissonnean’s labours, for they escape pain, the simi-larity is perfect, and the mobility surprising. They can adaptand take off their artificial eyes with ease, and these are evenso accurately adapted that they cannot be wrongly put on.We understand, also, that M. Boissonneau uses a kind ofenamel, with metallic bases, which is extremely enduring.As it is unfortunately but too often the case that the sur-

geon is compelled to declare himself incompetent as to restor-ing an eye which has either by accident or disease been dis-organized, it is consoling that he has at hand such admirablesubstitutes, which will at least save the patient from carryingwith him a deformity which is ever of a melancholy

a -character.

foreign Department.A New Treatment of Prolapsus Uteri.

M. DESGRANGES, surgeon to the Lyons Hospital, has lai,lbefore the Academy of Medicine of Paris a new mode oiremedying the uterine displacement. It consists in pinchingup the mucous membrane of the vagina, after reduction, withlittle forceps, or serre fines of Vidal. The forceps produceulceration, and fall off from the fifth to the tenth day; and M.Desgranges repeats this operation eight or ten times, taking<care always to leave as many of the forceps as possible. Atthe commencement of the treatment, he introduces as many asnine; later, from six to four; and at last, towards the end, onlyone of the little instruments. The treatment lasts in generaltwo months and a half, or three months.

It will be seen that this method rests on the fact that thenarrowing of the passage may prevent any further descent ofthe organ, the loss of substance and cicatrization being instru-mental in the result. M. Desgranges adduces three cases insupport of his views, and the operation might at first sight belooked upon as holding out a fair chance of success; but itshould be borne in mind, that by the coarctation of the canal.none of the weight of the displaced body is diminished; andthat constant pressure from above may certainly conduce tothe elongation of the cicatrices. -

For assisting the memory of our readers, we shall justtranscribe the various analogous operations which have beenproposed, as given in a very good article of the Bulletin deTh&eacute;rpeutique :&mdash;

" 1. Excision of a few folds of the vaginal orifice, as prac-tised by Dieffenbach, in imitation of Dupuytren’s mode ofexcising some folds of the margins of the anus in prolapsus ofthe rectum.

" 2. Excision of a broad longitudinal flap of the mucousmembrane of the vagina, either elliptical (Dr. Marshall Hall)or square (Dr. Ireland), and the immediate apposition of thelips of the wound by suture.

" 3. Cauterization of the mucous membrane, so as to hardenthe tissues by suppuration, and obtain union between the wallsof the vagina and the surrounding organs (Laugier).

"4. Excision of a semicircle of the vaginal orifice, andimmediate apposition by suture, in acting either on the ante-rior or posterior circumference.

" 5. Episioraphy, practised by Fricke, of Hamburg. Thisconsists in paring the inner surfaces of the labia majora, andbringing them together by suture.

" 6. Complete obliteration of the vagina, proposed by M.Romain Gerardin. This operation has never been practisedupon the living subject, and could hardly be thought of beforethe cessation of the catamenia."

I Tetanits treated by Chlorofm’m ,Friction8.L’ Union M&eacute;dicale.states that M. MORISSZAU, surgeon to :the

hospital of La Fleche," succeeded in saving a patient seizedwith tetanus, by using frictions of chloroform all over thebody. M. Morisseau had, in two cases previously treated, tried,iin one venesection and opium, and quinine in the other: bothhad failed; and he had thus been induced to make attemptswith chloroform. A few acidulated vapour-baths, and frequentfrictions with the ansesthetic agent, brought on recovery m thespace of four days. ____

Hern.ia of the Iris; rapid Retraction by tlae Use of Atropine onboth Eyes.

The P7tiladelphia Medical Examiner mentions a case ofwound of the cornea, under the care of Mr. Morehouse,where the iris was herniated. Attempts at reduction weremade by touching the prolapsed iris with a solution ofatropine, (five grains to the ounce of distilled water,) butwith little result. Mr. Morehouse then thought of takingadvantage of the consentaneous action of the two irides, andapplied the solution to both eyes. This method succeededat once, the iris retreated, and the wound of the cornea soonhealed up. -

Peruvian Bark in Algeria.Jesuit missionaries in Peru have lately sent saplings of the

cinchona tree to some of their community who are farming inAlgeria, and trials will be made to cultivate the tree in theFrench colony. Doubts are entertained as to the success ofthe attempt.

_____________

Hosp&iacute;tal Reports.STAFFORDSHIRE GENERAL INFIRMARY.(Reported by G. BELLASIS MASFEN, Esq., House-Surgeon.)

A ooplexy and Rupture of the .S’pinal Cord from a fall; Para-lysis of the Trunk and Members.

T. R-----, aged thirty, was brought to the Innrmary atseven PM., Sept. 25, in a state of complete paralysis, and placedunder th care of Mr. Hughes.On the 23rd inst., being intoxicated, he had fallen on his

head, from 1. loft, and was found lying on the ground, shoutingvehemently. He had lost the use of both arms and legs,though on his first admission he was able to use the deltoidmuscles slightly, so as to raise the arms; he had not passedurine nor faeces since the accident. The whole of the trunkand extremities was almost devoid of feeling, but he was per-fectly conscious, and answered questions readily. He com-plained of great thirst: pulse slow and laboured; the surfacecold and clammy. There was a jagged wound of the scalpabout the middle of the coronal suture, and a slight projectionopposite the spinous process of the second dorsal vertebra.The catheter was passed, and about three pints of highlyammoniacal urine drawn of. Suspecting apoplexy of thecord, Mr. Hughes ordered him to be cupped to six ounces overthe site of the supposed spinal injury; to have a turpentineenema; three grains of calomel, with two grains of extract ofcolocynth, every hour until the bowels were acted upon; andan effervescing draught occasionally.

Sept. 26th.-Twenty minutes past four A.M.: Complained ofgreat sensation of fulness about the abdomen, and repeatedlysaid he should burst. About four ounces of thick, dark urinedrawn off by the catheter. Ordered, calomel, three grains;croton-oil half a drop to be taken every hour; at the same timethe surface of the abdomen was well rubbed with mercurialand camphor ointment.-Eight A.M.: No motion had as yettaken place; the enema had not come away, and the sense offulness was becoming more distressing. The catheter was againpassed, and a flexible tube introduced into the rectum, whichbrought away a considerable quantity of flatus, giving slightrelief, but no stool. Three quarts of warm soap and waterwere then thrown up, which brought away the turpentineenema, and a small quantity of f&aelig;cal matter. Twelve noon:Galvanism was applied from the hands to the feet of the sameside, across the abdomen, and across the hips. The symptomscontinued to aggravate, the pulse became more feeble, a coldsweat broke out on his face, and he gradually sank at half-pasttwo P.M.