not operated upon within three years from time physician is able to make a diagnosis.

Begin every laparotomy as an exploratory incision.

Said he was preparing a paper on ascites. Has operated on six cases where he found and removed a little tumor, and the result was a cure, there being no more dropsy.

At Woman's Hospital, a patient, aet. 50, suffering from ascites, Dr. Thomas was called away, and Dr. P. F. Chambers performed laparotomy. This was the only time while in New York that I noticed the spray used. An incision, between umbilicus and pubes, 4 inches long was made. There was a great deal of adipose tissue, which had embarrassed all efforts at diagnosis. On exploring the peritoneal cavity with hand, Dr. Chambers found malignant disease so extensive that he abandoned further operation. After suturing the abdominal wound, it was covered with collodion. The collodion was covered with iodoform, and the abdomen was thus antiseptically, hermetically sealed. Iodoform gauze was then spread over the abdomen. WALTER LINDLEY.

CORRESPONDENCE.

RECENT MEDICAL LICENTIATES.

Ar the regular meeting of the Board of Examiners, held December 1, 1886, the following physicians were granted certificates to practice medicine and surgery in this State:

Richard H. Ashby, San Francisce, Cooper Medical College, California, November 9, 1886.

Mary E. Bennett, San Francisco, Cooper Medical College, California, November 9, 1886.

Samuel A. Bookwalter, Visalia, Louisville Medical College, Kentucky, February 28, 1873.

Frank D. Buttolph, Duarte, Long Island College Hospital, New York, June 27, 1878.

James N. Camp, San Francisco, Cooper Medical College, California, November 9, 1886.

William Chapman, San Francisco, Cooper Medical College, California, November 9, 1886.

William Craig, Yountville, Medical Department of the University of Pennsylvania, Penn., March 14, 1871.

Arthur Du Milien, Colfax, Cooper Medical College, California, November 9, 1886.

Henry A. Evans, Bakersfield, Queen's University of Kingston, Ontario, April 1, 1878.

Mary D. Fletcher, San Francisco, Cooper Medical College, California, November 9, 1886.

Frank E. Gallison, Coulterville, College of Physicians and Surgeons of Chicago, Illinois, February 23, 1886.

David Gochenaur, San Diego, Medical Department of the University of Pennsylvania, Penn., March 13, 1868.

William D. Green, Los Angeles, Victoria University, Canada, May 12. 1886.

Krikor A. Hagopyran, San Francisco, Medical Department of the University of the City of New York, N. Y., March 13, 1883.

Samuel M. Hamilton, Colton, Jefferson Medical College, Pennsylvania, March 8, 1855.

William J. Holman, Pasadena, Medical Department of the State University of Iowa, Iowa, March 1, 1876.

Joseph N. Johnston, San Francisco, Cooper Medical College, California, November 9, 1886.

Benjamin F. Kierulff, Los Angeles, Rush Medical College, Illinois, January 25, 1867.

Charles E. Kuster, Los Angeles, Rush Medical College, Illinois, January 25, 1867.

William G. B. Lewis, El Cajon, Miami Medical College, Ohio, February 28, 1873.

William L. McAllister, Pasadena, Indiana Medical College, Indiana, February 28, 1873; and Medical College of Indiana, Ind., February 28, 1879.

William J. McCuaig, San Francisco (Duplicate), Medical Department of McGill University, Canada, March 29, 1886. Albert B. McKee, Sacramento, Cooper Medical College, California, November 9, 1886.

Frederick C. McVean, Santa Cruz, St. Louis Medical College, Missouri, March 6, 1885.

William N. Moore, Round Valley, Indian Reservation, Louisville Medical College, Kentucky, February 26, 1885.

Charles J. Mullen, Los Angeles, Missouri Medical College, Missouri, March 11, 1874.

Eli F. Osborn, Gilroy, College of Physicians and Surgeons, of Keokuk, Iowa, February 17, 1859.

John W. Root, Beaumont, Medical Department of the University of the City of New York, N. Y., March 9, 1882.

Max Salomon, San Francisco, Cooper Medical College, California, November 9, 1886.

Thomas W. Shaw, Los Angeles, Bellevue Hospital Medical College, New York, March 1, 1871.

Silas T. Trowbridge, San Francisco, Rush Medical College, Illinois, February 20, 1851.

Leverett Sweany, San Francisco, Medical College of Indiana, Ind., March 3, 1881.

John L. Siefkes, Lodi, Cooper Medical College, California, November 9, 1886.

John J. Tully, Sierra City, Cooper Medical College, California, November 9, 1886.

Franklin O. Boyce, Santa Rosa, Long Island College Hospital, New York, June 3, 1875.

At a special meeting of the Board, held December 8, 1886, the following additional certificates were granted:

J. D. Blair, Independence, The University of Glasgow, Scotland, April 20, 1839.

Ernest S. Brown, San Francisco, Medical Department of the University of California, Cal., December 3, 1886.

John B. Laidler, Folsom, Medical Department of the University of Georgia, Georgia., March 1, 1885.

Benjamin A. Plant, San Francisco, Medical Department of the University of California, Cal., December 3, 1886.

Allen P. Poaps, Los Angeles, Minnesota Hospital College, Minnesota, February 10, 1885.

William H. Porter, Santa Cruz, College of Medicine and Surgery of the University of Michigan, Michigan, March 26, 1873.

Julius Soboslay, San Francisco, Medical Department of the University of California, Cal., December 3, 1886.

Cornelius C. Vanderbeck, San Francisco, Jefferson Medical College, Pennsylvania, March 9, 1872.

Kemlo R. McD. Wilson, San Francisco, Medical Department of the University of California, Cal., December 3, 1886.

Hiram R. Kelly, Pasadena, Starling Medical College, Ohio, February 28, 1865.

Louis N. Hilleary, Poway, Medical Department of the University of the City of New York, N. Y., March 13, 1880. Thomas H. Goodsir, Garberville, Royal College of Surgeons, England, 1863.

David Mack, Scenega, Harvard Medical College, Massachusetts, July 15, 1863.

The application of R. E. Foley of Janesville was rejected, on the ground of insufficient credentials.

The new edition of the Medical Register is now in the hands of the printer, and we hope to have it ready for distribution early in February.

The certificates of membership in the State Medical Society have been promised to us early in February, when they too will be ready for distribution.

R. H. PLUMMER, Sec'y.

TRANSLATIONS.

TRANSLATED FOR SOUTHERN CALIFORNIA PRACTITIONER.

Extirpation of a Chondroma of the Pelvis and ligation of the common iliac artery and vein. Recovery.-Dr. Von Bergmann calls attention to the fact that Weber was the first to recognize the importance of embolism in the development of metastatic cartilaginous tumors. Further on he shows the constancy of the seat of these tumors, their relation with the cartilaginous exostosis and with the pelvic osteomata and their combinations with myxoms and sarcoms of the same matrix, which have perhaps been derived from some fatal transplantation and aberration.

After this brief introduction Von Bergmann then relates a case upon which he operated for a pelvic chondroma near the sacro-iliac symphysis. The patient, a girl eleven years old, was apparently of good health, and was not aware of the existence of a tumor in her pelvis. The examination of the patient, performed during the narcosis per rectum (bimanual), revealed a tumor as large as a man's fist, hard, and with very nodular surface. It was scarcely movable, globular in shape. and entirely surrounded by adhering intestines, and its pedicle situated at the posterior wall of the inlet to the pelvis, but it VOL. II. B-3.

was impossible to diagnose its relation with the larger blood vessels.

A second examination, which was made two months later, showed an increase of the tumor in size; otherwise the child was healthy, but upon the desire of her parents to remove the tumor, the difficult operation was performed. To avoid all interference with the peritoneum, Piragoff's incision for ligation of the common iliac artery was adopted. To this end, the muscles and fascia were strictly separated, layer after layer, according to their anatomical relations, and then the whole. tumor exposed by gently detaching the peritoneum with the fingers from the tumor. In the attempt to enucleate the mass, Von Bergmann ruptured both artery and vein and therefore at once ligated the common, the external and the internal iliac arteries, and also the veins. After this, the tumor was easily isolated and, by means of the chisel, separated from the linea arcuata interna. Ureter and crural nerve were not visible. After thorough disinfection of the wound with iodoform ether and insertion of the drainage tube, the wound was closed by internal and external sutures. In the left leg, which was very cold, were well-pronounced symptoms of motor paralysis, partial anæsthesia, with pain in toes, foot and calf, which symptoms began to improve rapidly after four days, and after several months, this leg was about as useful as ever. The wound did not heal entirely per prim intent, and it is possible that such was prevented by the infiltration of the dressing with urine.-Deutsch Med. Wochschoft., No. 42 and 43.

Three Interesting Cases of Herniotomies. (V. Nussbaum.)— Case 1. A man aged 36, with congenital inguinal hernia. The sac contained, besides part of the colon ascendens with the vermiform process, a large amount of fluid, hydrocele. The colon was densely studded with a fatty, degenerated append. epipl., and formed with the same a mass of the size of a child's head. This mass could only be replaced, after a large incision of 9-10 centimeters (4 inches), and removal of a great amount of those fatty deposits from the colon. The first day after the operation a great deal of vomiting took place, after which the patient did well. Ten days later the bowels moved naturally.

Case 2. A woman, aged 42, with rupture of the lin. alb. and inguinal hernia. In this case the protruding mass could be