1
719 only seen one case of internal stricture, and believed ex- ternal stricture to be very rare. In talking of treatment, reference should be made to the inner orifice. As to sterility, it was a complex question. Maturation of the genital organs might take place only after several years of mar- riage, and a fact due to physiological evolution be ascribed to an operation. Furthermore he attached little import- ance to narrowness of the cervix in dysmenorrhaea and sterility. Professor Verneuil asked M. Courty to give his cases in full, and hoped he would give indications for operating. He had seen stricture after amputation of the cervix for epithelioma. In one of these cases the orifice would scarcely admit a probe, and there were no pathological symptoms. In another, the cervix was narrow, and there was dysmenorrbcea; also, the ovary was painful. After application of some blisters to the abdomen dysmenorrhoea ceased, though the cervix remained quite as narrow. Indi- cations for operating were difficult to set down. In stric- tures of the cervix, Robert used to cut with a bistoury; the incision cicatrized; dilatation was not permanent, yet dysmenorrbaea was removed. In answering these objections, Dr. Courty said he meant only to describe his operations for the present, but intended to take up the subject of indications at a forthcoming sitting. Dr. Despres had seen a few cases at Lourcine (the female Lock Hospital), because stricture mostly occurred in newly-married women. As to Dr. Blot’s remarks, the in- ternal orifice was the more open as the external one was small. As to cases where the internal orifice was narrow when the external one was normal, they would be treated of specially on another occasion. Out of his twelve cases of operation he had not lost one patient. In all the cases the symptoms disappeared after the operation. Of course there were other causes of sterility besides narrowness of the orifice. In one of his cases, however, with an excessively conical cervix and a very narrow orifice, fecundation took place so speedily after the operation that it was difficult not to ascribe it to the procedure. At the same sitting, Dr. Hergott, formerly of Strasburg, communicated a paper on the treatment of vesico-vaginal fistulae. Success in these cases had been attributed to the metallic suture, or to one procedure rather than another; but the key to success was, as in all other cases of auto- plasty, perfect paring and perfect reunion. A good spe- culum and a good posture of the patient were necessary. Dr. Hergott described the instrument which had served him in fourteen cases-a gutter-shaped tin speculum for de- pressing the posterior wall of the vagina. For seeing the anterior wall, he caused his patients to lie on an inclined plane of 45 degrees, and the posture adopted was that described by Dr. Gustav Simon as the pelvi-dorsal position. Twelve out of the fourteen cases recovered; the remaining two died from peritonitis at a time when epidemic peri- tonitis prevailed at the Lying-in Hospital. Dr. Hergott stated that he had adopted Simon’s plan of not sounding his patients, and not endeavouring to evacuate the water by means of permanent sounds; he had thus avoided cystitis and obtained the best results. Paris, May 12th, 1873. PARLIAMENTARY INTELLIGENCE. HOUSE OF LORDS. MAY 8TH. THE Registration of Births and Deaths Bill passed through Committee. HOUSE OF COMMONS. MAY 9TH. PUBLIC HEALTH BILL. On the order for resuming the debate on this Bill, Colonel BARTTELOT complained that an important measure like that before the House-one which sought to interfere with the rights of private property-should be brought on at such a late hour-namely, 12.15 A.M. After some obser- vations from Mr. FOWLER, the Bill was read a second time, on the understanding that it should be discussed upon going into Committee. AGRICULTURAL CHILDREN BILL. On the order for the third reading of this Bill, Mr. MuNDELLA moved that it be read a third time that day six months. He was of opinion that the Bill, if passed, would become a dead letter, inasmuch as it would never be carried out by those to whom its enforcement would be entrusted. The Bill was read a third time and passed. MAY 12TH. CONDEMNED TOBACCO. In reply to Mr. Barnett, Mr. BAXTER said that the Com- missioners of Customs had informed him that the quantity of unmanufactured tobacco destroyed during the last three years amounted to 240,000 Ib., and that the quantity of manufactured tobacco destroyed during the same period amounted to 7270 lb. Nearly the whole of that tobacco was unmerchantable, and was, in fact, mere refuse, and, if sold, would only have brought a mere trifle. MAY 13TH. INSPECTION OF NUISANCES. In reply to an hon. member, Mr. HIBBERT said that wherever medical officers and inspectors of nuisances were made by the Local Government Board, or with their sanc- tion, one-half of their salaries would always be paid by the Government. POOR-LAW RELIEF. Mr. W. H. SMITH gave notice that on an early day he would call attention to the administration of the Poor Law, especially of out-door relief, and move a resolution. MAY 14TH. INFANTICIDE BILL. The Second Reading of this Bill was moved by Mr. CHARLEY. Mr. BRUCE, while not objecting to the principle, pointed out various defects in the clauses. The Govern- ment, he announced, had a bill prepared on the whole subject of the punishment for murder, and on that ground he urged the withdrawal of this measure. Mr. HOLKER supported the Bill. Mr. HARDY and Sir G. GREY joined in seconding Mr. Bruce’s advice, and after some observations from Mr. HUNT, Sir G. JENKINSON, and the ATTORNEY- GENERAL, the Bill was read a second time on the under- standing that it would not be pressed further Medical News. ROYAL COLLEGE OF SURGEONS OF ENGLAND. - The following gentlemen have passed the primary examina- tion in Anatomy and Physiology :— L. A. Weatherly, Bristol; A. 0. White, St. Mary’s Hospital; T. E. Bas- combe, St. Thomas’s Hospital; E. Ground, A. W. Wright, J. Davies, and C. S. Bayley, King’s College ; J. W. Watson, F. M. Sherrin, aud J. Coutts, University Coll. ; E. 1. Pilling, W. W. Pinching, B. Jumeaux, P. J. Jackson, and J. H. Vinter, Guy’s Hospital ; A. Cosgrave, E. W. Martland, W. Walker, A. C. J. Wilson, F. H. V. Grosholz, C. W. Folkes, C. H. Phillips, and J. F. Harrison, Manchester ; T. S. Sutton, J. C. Creswetl, G. Sibbering, and F. C. Quartley, Middlesex Hospital ; G. F. Jackman, C. C. Tumour, W. G. Archer, C. A. Daubeny, R. Golding, H. S. Little, G. H. Smith, and S. M. Smith, St. Bartholomew’s Hosp.; C. V. Whitby, J. 1. Toll, W. Moxon, E. S. Warrillow, and T. Smith, Birmingham ; R. L. Lawson, Dublin and Guy’s Hospital ; H. J. Owen, , St. George’s Hosp. ; T. S. Pitts, Glasgow and King’s Coll. ; J. M’Naught and R. Saundby, Edinburgh; R. Richardson and H. Hick, Leeds; H. A. Shera, Sheffield. APOTHECARIES’ HALL. - The following gentlemen passed their examination in the Science and Practice of Medi- cine, and received certificates to practise, on May 8th :- Bredm, John Noble, Chart Sutton, Kent. Jordan, Fredk. William, Plymouth-grove, Manchester. Nash, William Gunner, Farnham, Surrey. Winkworth, Frederick Sydney, Chalcot-terrace. As Assistant in Compounding and Dispensing Medicines :— Sharrah, Richard, Hull. The following gentleman also on the same day passed his Primary Professional Examination :— Symonds, Horatio Percy, University College. MRS. OWEN, the wife of Professor Owen, died lately at Sheen Lodge, Richmond-park, in her seventy-first year. THE annual dinner of St. Mary’s Hospital was held on Wednesday evening last at Willis’s Rooms, under the presidency of the Marquis of Lorne.

MAY 14TH

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only seen one case of internal stricture, and believed ex-ternal stricture to be very rare. In talking of treatment,reference should be made to the inner orifice. As to sterility,it was a complex question. Maturation of the genitalorgans might take place only after several years of mar-

riage, and a fact due to physiological evolution be ascribedto an operation. Furthermore he attached little import-ance to narrowness of the cervix in dysmenorrhaea andsterility.

Professor Verneuil asked M. Courty to give his cases infull, and hoped he would give indications for operating.He had seen stricture after amputation of the cervix for

epithelioma. In one of these cases the orifice would

scarcely admit a probe, and there were no pathologicalsymptoms. In another, the cervix was narrow, and therewas dysmenorrbcea; also, the ovary was painful. After

application of some blisters to the abdomen dysmenorrhoeaceased, though the cervix remained quite as narrow. Indi-cations for operating were difficult to set down. In stric-tures of the cervix, Robert used to cut with a bistoury; theincision cicatrized; dilatation was not permanent, yetdysmenorrbaea was removed.

In answering these objections, Dr. Courty said he meantonly to describe his operations for the present, but intendedto take up the subject of indications at a forthcomingsitting. Dr. Despres had seen a few cases at Lourcine (thefemale Lock Hospital), because stricture mostly occurred innewly-married women. As to Dr. Blot’s remarks, the in-ternal orifice was the more open as the external one wassmall. As to cases where the internal orifice was narrowwhen the external one was normal, they would be treated ofspecially on another occasion. Out of his twelve cases ofoperation he had not lost one patient. In all the cases thesymptoms disappeared after the operation. Of course therewere other causes of sterility besides narrowness of theorifice. In one of his cases, however, with an excessivelyconical cervix and a very narrow orifice, fecundation tookplace so speedily after the operation that it was difficult notto ascribe it to the procedure.At the same sitting, Dr. Hergott, formerly of Strasburg,

communicated a paper on the treatment of vesico-vaginalfistulae. Success in these cases had been attributed to themetallic suture, or to one procedure rather than another;but the key to success was, as in all other cases of auto-plasty, perfect paring and perfect reunion. A good spe-culum and a good posture of the patient were necessary.Dr. Hergott described the instrument which had servedhim in fourteen cases-a gutter-shaped tin speculum for de-pressing the posterior wall of the vagina. For seeing theanterior wall, he caused his patients to lie on an inclinedplane of 45 degrees, and the posture adopted was thatdescribed by Dr. Gustav Simon as the pelvi-dorsal position.Twelve out of the fourteen cases recovered; the remainingtwo died from peritonitis at a time when epidemic peri-tonitis prevailed at the Lying-in Hospital. Dr. Hergottstated that he had adopted Simon’s plan of not soundinghis patients, and not endeavouring to evacuate the waterby means of permanent sounds; he had thus avoidedcystitis and obtained the best results.

Paris, May 12th, 1873.

PARLIAMENTARY INTELLIGENCE.

HOUSE OF LORDS.

MAY 8TH.THE Registration of Births and Deaths Bill passed

through Committee.

HOUSE OF COMMONS.

MAY 9TH.PUBLIC HEALTH BILL.

On the order for resuming the debate on this Bill,Colonel BARTTELOT complained that an important measurelike that before the House-one which sought to interferewith the rights of private property-should be brought onat such a late hour-namely, 12.15 A.M. After some obser-vations from Mr. FOWLER, the Bill was read a second time,on the understanding that it should be discussed upongoing into Committee.

AGRICULTURAL CHILDREN BILL.

On the order for the third reading of this Bill, Mr.MuNDELLA moved that it be read a third time that day sixmonths. He was of opinion that the Bill, if passed, wouldbecome a dead letter, inasmuch as it would never be carriedout by those to whom its enforcement would be entrusted.The Bill was read a third time and passed.

MAY 12TH.CONDEMNED TOBACCO.

In reply to Mr. Barnett, Mr. BAXTER said that the Com-missioners of Customs had informed him that the quantityof unmanufactured tobacco destroyed during the last threeyears amounted to 240,000 Ib., and that the quantity ofmanufactured tobacco destroyed during the same periodamounted to 7270 lb. Nearly the whole of that tobacco wasunmerchantable, and was, in fact, mere refuse, and, if sold,would only have brought a mere trifle.

MAY 13TH.INSPECTION OF NUISANCES.

In reply to an hon. member, Mr. HIBBERT said thatwherever medical officers and inspectors of nuisances weremade by the Local Government Board, or with their sanc-tion, one-half of their salaries would always be paid by theGovernment.

POOR-LAW RELIEF.

Mr. W. H. SMITH gave notice that on an early day hewould call attention to the administration of the Poor Law,

especially of out-door relief, and move a resolution.MAY 14TH.

INFANTICIDE BILL.

The Second Reading of this Bill was moved by Mr.CHARLEY. Mr. BRUCE, while not objecting to the principle,pointed out various defects in the clauses. The Govern-ment, he announced, had a bill prepared on the wholesubject of the punishment for murder, and on that groundhe urged the withdrawal of this measure. Mr. HOLKER

supported the Bill. Mr. HARDY and Sir G. GREY joined inseconding Mr. Bruce’s advice, and after some observationsfrom Mr. HUNT, Sir G. JENKINSON, and the ATTORNEY-GENERAL, the Bill was read a second time on the under-standing that it would not be pressed further

Medical News.ROYAL COLLEGE OF SURGEONS OF ENGLAND. -

The following gentlemen have passed the primary examina-tion in Anatomy and Physiology :—

L. A. Weatherly, Bristol; A. 0. White, St. Mary’s Hospital; T. E. Bas-combe, St. Thomas’s Hospital; E. Ground, A. W. Wright, J. Davies,and C. S. Bayley, King’s College ; J. W. Watson, F. M. Sherrin, audJ. Coutts, University Coll. ; E. 1. Pilling, W. W. Pinching, B. Jumeaux,P. J. Jackson, and J. H. Vinter, Guy’s Hospital ; A. Cosgrave, E. W.Martland, W. Walker, A. C. J. Wilson, F. H. V. Grosholz, C. W. Folkes,C. H. Phillips, and J. F. Harrison, Manchester ; T. S. Sutton, J. C.Creswetl, G. Sibbering, and F. C. Quartley, Middlesex Hospital ; G. F.Jackman, C. C. Tumour, W. G. Archer, C. A. Daubeny, R. Golding,H. S. Little, G. H. Smith, and S. M. Smith, St. Bartholomew’s Hosp.;C. V. Whitby, J. 1. Toll, W. Moxon, E. S. Warrillow, and T. Smith,Birmingham ; R. L. Lawson, Dublin and Guy’s Hospital ; H. J. Owen,

, St. George’s Hosp. ; T. S. Pitts, Glasgow and King’s Coll. ; J. M’Naughtand R. Saundby, Edinburgh; R. Richardson and H. Hick, Leeds; H. A.Shera, Sheffield.

APOTHECARIES’ HALL. - The following gentlemenpassed their examination in the Science and Practice of Medi-cine, and received certificates to practise, on May 8th :-

Bredm, John Noble, Chart Sutton, Kent.Jordan, Fredk. William, Plymouth-grove, Manchester.Nash, William Gunner, Farnham, Surrey.Winkworth, Frederick Sydney, Chalcot-terrace.

As Assistant in Compounding and Dispensing Medicines :—Sharrah, Richard, Hull.

The following gentleman also on the same day passed hisPrimary Professional Examination :—

Symonds, Horatio Percy, University College.

MRS. OWEN, the wife of Professor Owen, died latelyat Sheen Lodge, Richmond-park, in her seventy-first year.THE annual dinner of St. Mary’s Hospital was

held on Wednesday evening last at Willis’s Rooms, underthe presidency of the Marquis of Lorne.