under your olmorvatir>n during that time?
In the answers to these (piosttons I should like a brief hut
complete history of oacli case and an account of the troatinent
that has houn pursued. I hope by this means to obtain the e.x-
porlonco of n lar((u number of obHcrverrt and to njiich n fiijrly
raliAhlu noncluHJon as to the time when wo may safely puriiiit
our nyphilitic patients to marry. Kdiinsiok Kostkh, M. I).
IProce^trings of Somties.
AMERICAN ASSOCIATION OF OBSTETRICIANS AND
Seventh Annual Meeting, held in Toronto, Ontario, September
19, 20, and 21, 1894.
The Second Vice-President, Dr. Geohge F. IIulbert, of St.
Louis, in the Chair.
An Address bactrim 400 mg of Welcome on behalf of the local medical
profes.sion was delivered by Dr. James Thorbuen, which was
responded to by Dr. Hulbekt.
The Incision in Abdominal Surgery— Methods and Re-
sults. — A paper thus entitled was read by Dr. J. Henry
Caestens, of Detroit. The author summarized as follows :
1. With a small, narrow-bladed, sharp knife make a clean
incision through the skin, of the necessary length, and
with another sweep or two cut through the linea alba, mus-
cle, etc. Lift the peritonfeum with your fingers, open it, and
enlarge the incision. The use of the forceps to lift the tis-
sues, or the grooved director is unnecessary. 2. In closing
the abdominal incision use animal ligature, kangareo tendon,
or catgut. First carefully bring together bactrim price the peritoneum in
a running stitch, then the transversalis fascia, and the rectui*
if the incision is through this muscle. Then carefully bring to-
gether, edge to edge, the tendinous insertion of the oblique
muscles. The fat and loose cellular tissue above can generic for bactrim be brought
together in one or two tiers, according to thickness. Bring the
skin together carefully with Marcy's cobbler stitch, thus bury-
ing all the sutures. 3. Then seal with collodion, and, if every-
thing connected with the operation cost of bactrim has been carefully aseptic,
absolute primary union will take place, and the different layers
of the abdominal wall will have been brought together as near-
ly as possible as they were in the first place, and no hernia will
result. 4. In cases of extensive umbilical, ventral, or other
hernias, it is best to bring the peritonsBum together with
an over-and-over stitch of kangaroo tendon or catgut; to
make a flap-splitting operation of the ring, which is brought
together with silkworm gut or silver wire, which are buried ;
and then to unite the fat and skin with the buried animal
Plastic Surgery in Gynaecology.— Dr. .Iosei-h Trice, of
Philadelphia, read bactrim bactrim a paper on this subject in which bactrim 800mg he said that
the practice of surgery in all its branches required a antibiotics bactrim mechanical
trend and an ability to devise moans to accomplish a given end.
In order to mend a perinjBum intelligently, the mechanism of
labor must be understood. In cases of serious pelvic invasion,
with accompanying lacerated cervix, it was often better, or im-
perative, first to do the pelvic operation, and to follow this at
another time with bactrim cost the cervical repair. The author condemned
the plan advised by some of performing internal and external
operations purchase bactrim at one sitting. Perineal tears always occurred mrsa bactrim at
certain parts bactrim 800 mg of the perineal structure. These tears were either
lateral, under the ramus of the ])ubos, or central, extending
from vagina toward the rectniii. The tears toward the rectum
tended to run around it rather than through it, antibiotic bactrim owing to the dif-
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