This makes a trough into which, after it is decalcified, the fragments of the bone rest, while along the upper surface one of the small decalcified splints, before described, is applied, and the whole heM in place by the silkwormgut ligatures.All of the material used is absorbable, so that a secondary operation for its removal would not be necessary; the splints do not require much fitting; and they can be prepared and kept for use the same as ligatures, and other surgical supplies.DR.CABOT: In regard to the method of fixation of the ends, which was not discussed in the paper but which I think is important, the difficulty has always seemed to me with those complicated methods proposed by Senn and others that they necessitate too extensive au injury of the soft parts. I have always tried to keep the soft parts not separated from the bone, aud it seems to me any method which requires for its proper performance a separation of the soft parts from those ends which are going to unite, is in that degree faulty. I am interested in what Dr Goldthwait has said about using silkwormgut for tying around these splints. Lately, since I have used the silkwormgut more aud more. I have firmly convinced myself that it is quite strong North Face Outlet enough for the ordinary suturing of bone, and I question whether a few silkwormgut sutures between the fractured ends of the bones, would not accomplish as much fixation as is ordinarily necessary and with a less introduction of foreign material than in any of the more complicated methods.DR.GOLDTHWAIT:From what little experience I have had, I should quite agree with Dr. North Face Clearance Cabot in his hesitating to strip Oakley Sunglasses the bones of the soft parts, and also that in the cases in which wire can be used, I should think the silkwormgut would be sufficient, but there are a certain number of cases in which, as the result of a severe crush or twist, the soft parts are lacerated and torn from the fragments, making it very difficult to maintain the correct apposition. Also the bone at times is The North Face Outlet so finely comminuted aud the edges so ragged that it is difficult to pass North Face Coat a silverwire or any suture directly through the bone so as to hold them in place. It was for this small class of cases that I suggested this mode of treatment. In exposing the bone to apply the The North Face Outlet Store suture, if it is necessary to free any of the soft parts, by all means do not disturb the periosteum. If you notice in the illustrations passed around, the splints raise the sutures so that the intervening space between the splints is free, and no pressure is brought upon the periosteum in these places so that the circulation is not disturbed.l&ecent Hittrature.A Laboratory Guide in North Face Outlet Store Urinalysis and Toxicology.By R, A. VVITTHAUS,A.M., M.D., Professor ofChemistry and Plnsics in the Medical Department,University Ralph Lauren Outlet of the City of New York, etc. Thirdedition. New York: William Wood & Co. 1893.This book, which has been prepared solely forlaboratory use, contains the work which iB followed bythe junior students in the Medical Department of theUniversity of New York. It is, we presume, primarilyintended as an aid to the author's own classes, and is well adapted for that purpose. We can recommend it as a useful laboratory guide. In this edition a system of qualitative analysis not contained in the earlier editions has been added.Hernia: Its Palliative and Radical Treatment in Adults, Children and Infants.By THOMASH. MANLEY,A.M., M.D., Visitiug Surgeon to Fordham Hospital; Member of New York Academy of Medicine, American Medical Association, New York State and County Associations, International Medical Congress, Pathological Society, National Association of Railway Surgeons, etc. Philadelphia: The Medical Press Co., Limited. This book presents the subject of hernia, and tries to accordto each Oakley Canada