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892 Macroom U!ziota. Dr. Warren Crooke, medical officer of the Macroom Work- house, has resigned hin appointment owing to ill-health and has applied for the usual superannuation. Notice of motion has been given by one of the guardians that he will next month move that a superannuation allowance commensurate with his long and faithful service be grantecl to Dr. Crooke. Dr. M. Darby has been appointed to the Commission of the Peace for the county of Kildare. April llth. _______________ PARIS. (FROM OUR OWN CORRESPONDENT.) Transplantation of Bone in the Radical Cure of Hernia. AT the French Surgical Congress held last week a paper was read by Dr. Thiriar of Brussels on a new method of rendering the results of operations for the radical cure of hernia more durable. Owing to the yielding of the parietes at the seat of incision relapses are unfortunately not uncommon after this operation. To remedy this inconvenience Dr. Thiriar proceeds as follows : The sac being opened and the stump reduced, he fixes with catgut sutures a plate of decalcified bone between the stump and the abdominal wall, the dimensions of the plate being proportional to that of the orifice to be obturated. In twenty’one cases operated on, a firm cicatrix has been obtained and no relapse of the hernial condition has been noted. Post-mortem examination in one instance showed that the plate becomes absorbed and is replai,-e(3 by a resisting and hard cicatricial tissue. Professor Hayem’s Treatment of Chlorosis. M. Hayem, professor of therapeutics at the Paris Faculty, s well known for his researches on the composition of the blood in health and disease. A ,-csuuce of the treatment pre- scribed by him to chlorotic patients in his wards at the Hopital St. Antoine will perhaps prove interesting and instructive to the readers of THE LANCET. It is as follows : "Keep the patient in bed for two or three weeks and subject her to a regimen consonant with the state of the stomach as deter- mined by chemical analysis of the gastric juice. Generally there is hyperpepsia, and this is best combated by a milk and raw meat diet-a tumblerful of skimmed milk every hour and 100 grammes (a little over three ounces) of scraped raw meat at noon and at 5 P M. At the expiration of a fortnight considerable improvement will be noted. Now, and now only, iron may be exhibited. The best, because the most assimilable, preparation is the protoxalate of iron, of which from ten to twenty centigrammes may be given twice daily at the begin- ning of a meal. Constipation may be met by enemata or by the administ-raticn of mucilaginous seeds, such as pxyllium plantago. When the appetite reappears, three meals a day of easily digested food may be given. In a month the patient will have regained colour and strength and she may now be per- mitted to leave bed, at first for two hours, then for four and six, and finally for the whole day. In five or six weeks cure will be complete. " M. Hayem lays great stress on the necessity of first treating the dyspepsia-hyperpepsia or hypopepsia- always present. This preliminary anti-dyspeptic treatment lasts generally for three, four or five weeks and is a most neces- sary forerunner of the protoxalate of iron régime. Should there be hypopepsia, a tablespoonful of a 1 per cent. solution of hydrochloric acid in half a tumblerful of sweetened water after meals should be given concurrently with the prot- cxalate of iron. Operation Treatment of Hæmorrhoids. At the Surgical Congress, M. Quénu described a modification of Whitehead’s excellent operation for hsemorrhoids. M. Quénu has employed Whitehead’s method on ten occasions and in several he has noticed non-union owing to the suture cutting through the mucous flap. He proposes to make an incision between the mucous membrane and the skin, and then to dissect away the membrane for a certain height. Now, instead of sacrificing a ring of membrane with the hasmor- rhoidal tissue as in Whitehead’s method, M. Quénn preserves it and simply removes the venous ampullse on its surface. The mucous membrane is then sutured to the skin, leaving in this way a circle of extra-anal stitches. He claims for his method greater simplicity in execution and the necessity for a less severe regimen after the operation. M. Delorme stated that he had performed Whitehead’s operation on eight occasions and he could not peak too highly of iL. M. Reclus endorsed M. Delorme’s remarks and said that in the numerous cases in which he had operated according to i Whitehead’s precepts he had never met with the contretemps , mentioned by M. Quenu. Congenital Absence of Rectum: Operatopn. The above condition has, in nearly all cases, proved fatal. M. ]Delagénière of Tours (French Surgical Congress), in ! making a post-mortem examination of six infants who had succumbed to this affection discovered that the terminal intestinal cul-de-sac was generally furnished with a vasculo- cellular pedicle, which rendered the cul-de-sac mobile. This mobility of the cul-de-sac, which is ordmarily situated on the level of the left sacro-iliac articulation, suggested the idea of bringing it down to the level of the normal anus and fixing it there. In one case a perineal incision was made and the movable cul-de-sac fixed to the skin incision. The infant did well until the seventh day, when broncho-pneumonia closed its career. In the case of the other child operated on, the pedicle was absent and trac- tion on the cul-de-sac failed to bring it down. The practical conclusions deduced by M. Delageniere are Mat the new-born child tolerates easily operations of this Kind, even when they are necessarily tedious. It is hoped by this proceeding to save a considerable number cf hves, more especially since there is always as a derniére .np...»a"-ce the option of creating an artificial anus. A Venerable Practitioner. Practitioners of the healing art are, as a ru:e, a short-lived race. A doctor who has not only attained ’,ii-3 hundredth year, but is still practising, is therefore a rarity, and the port of Havre is to be congratulated on the possession of such a remarkable citizen. Dr. de Bossy was born in 1793, just two days before his fellow townsman, Casimir- Delavigne, whose centenary has been celebrated with such that aay the worthy Havrais. During the last severe cholern epidemic Dr. de Bossy was an enthusiastic attendant on the sick, a medal being conferred on him for his services. A popular ovation was accorded him on the occasion of the Delavigne centenary proceedings. April llth. ________________ BERLIN. (FROM OUR OWN CORRESPONDENT.) The International Sanitary Conference. As to the labours of the International Sanitary Conference at Dresden hardly anything has transpired. It is understood that it is doing its work in three committees or sections. One of these is presided over by the Dutch delegate Rnysoh and is occupied with general questions. The president of the second is Roth, Swiss envoy at Berlin. It has a n arnber of questions before it regarding the passage of persons, goods, letters, &c. from countries where cholera is raging. The topic dealt with by the third section is the somewhat complicated question of the Sulina mouth of the Dannbe. In general, it is said, the principle that all u.r.necessary hampering of traffic is to be avoided prevails in the Con- ference. The scientific delegates, including those cf Ger- many and France, are said to be agreed in the main. It is expected that the Conference will finish its deliberations by the middle of this month. The Twenty-first Congress of Medivcal Men. The delegates of the medical societies united 50 from the German Medical Union will meet at Breslau in August. The only subject as yet on the programme is the duties of medical men in hospitals. It will be introduced by Professor Kast of Breslau and Dr. Cuyrim of Frankfort-on-the-Main. It was proposed that the question of the admission of women to the study of medicine should also be diseased, out the proposal was declined by the managing committee of the Union. Miscellaneous Items. Duke Charles Theodore of Bavaria performed his two- thousandth operation for cataract in his clinic in Munich last Friday. The operation-room had been decorated with flowers and plants by the Sisters of Mercy employed in the establishment. About three vears and nine months have elapsed since the duke performed his thousandth operation for cataract. Professor Leyden celebrated his silver wedding last Sunday,
