Vol. 60, 1909 - University of North Carolina at Chapel Hill

436 THE CHARLOTTK MEDICAL JOURNAL.
as follows: In the first place the ulcerated operative cases hardl}' reach a similar persurface
is thoroughly curetted. The re- centage. The mortality was found to be
suiting wound cavity is then carefully dried, lowest in those hospitals where no surgical
and one to two tablespoon fuls of pure ace- interventions were performed,
tone is poured into the wound through a There is one exception, consisting in the
cylindrical speculum, with the pelvis ele- hydrocephalus of certain chronic cases,
vated and kept in this position for fifteen to The removal of this hydrocephalic complithirty
minutes. Then a narrow strip of cation would appear to be advisable, and
gauze is packed into the wound cavity, the author for this purpose performed drain-
The patient is then put into the horizontal age of the two lateral ventricles in two
position, the speculum withdrawn, the cases, and further recommends simultalower
part of the vagina and the vulva neous drainage of the fourth ventricle by
washed out with sterile water and dried, opening the atlanta-occipital ligament.
In twenty-four hours the gauze is drawn The danger of this drainage consisiS in scout,
and in two or three days the patient condary infection during the after-treatleaves
her bed. In five days another treat- meut. In order to guard against this risk,
ment is carried out. The pelvis is raised, the author employed for drainage purposes
a cylindrical speculum put in and filled small silver-wire frameworks, 4 cm. in
with acetone, and the patient kept in posi- length, which held parallel threads of cottion
for half an hour. ton wick. By means of the successive
The treatment is painless, hence anes- pulling out of these threads it was possible
thesia is unnecessary, but the vulva and tore-establish the drainage, after an obperineum
must be protected from the fluid, struction had resulted, with a favorable
At the beginning this treatment is repeated influence upon the outcome,
three times a week. Gradually the interval
^toe Therapeutic Use ol SuSphur.between
treatments can be lengthened ac- „. ,
, ,,, , ,, , ,,, , , r. ^ .u ^
* cording to the results. If the patient agrees ^'^''Y ^^''^''- ^^"^ Wchschrft.) says that
^he observation to the effect that the sul-
to it, the currettement mav be repeated
preparations are often of very
everv one or two
unequal
months, o'n this point it Pjl^';
effic-ency ,s referable to the more or less
has been observed that the subsequent curfi"«'>'
d'^^tnbuted
rettements are much less bloody and
form of the sulphur in the
only a
Preparation employed. In the author s ex-
small amount of necrotic tissue comes awav;
thev can often be carried out without an
penence a constant and uniform effect was
anesthetic. After a few days a diminution
obtained by means of a oO per cent, sulof
the bad odor is clearly
Pl^ur omtment prepared by rubbing up a
distinguishable:
quantity of still moist,
the discharge gradually and
newly precipitated
completely
disappears, and at the same time the
^^ Pl^"'''
fetor. ^'^1. an ointment vehicle (pasta
^^^f""^,
Hemorrhage
P^ltiformis)
becomes
The employment of
. less or entirelv disap-
'•?'«
pears. After two or three weeks the crater ^^^P^^', P^ste was followed by favor-
able results in cases of scabies, acne vulalmost
without exception becomes smaller
and its walls become smooth and firm. On S^^^, seborrhcea of the scalp pityriasis
versicolor, herpes tonsurans, and all
account
forms
of the absence of bleeding anddisof
^fl?l?!;.!!?:P!!l°!ll"''*'^f:_f ":^ ^!'.i°'''^'
seborrhoeic eczema. Certain cases of
charge the general condition of the patient
hronic eczema as well as fresh efllores-
becomes improved. . . . ,., . ^
One apparent cure of a well-marked case
^^"^^^ of psoriasis were likewise favorably
influenced.
of cervical cancer
The preparation was painted
is reported in detail.
About a dozen cases have
o" the parts
been
two or three times daily, or it
treated in
^>'^^ ''"'^^^'^ into the affected skin
this way, but with the exception
segments,
noted there
was no permanent improvement, although
the lives of the patients were prolonged.
Salisbury N C
Aoril 9th 1909
The Surgical Trealmenl ol Epidemic Laine Chemical Co.
Meningitis.— Radmann (Mittlg. aus d. Gents. For years past, I
Greiizgeb. d. Med. u Chir. ) says that sur- have used Sulpho-Lythin with good results
gical measures, in a general way, are not in chronic rheumatism and in furuiiculosis
promising in the management of epidemic or the tendency to boils. More recently, I
meningitis, even for theoretical reasons, have been using your No. 6 tablets with
since the condition is not a local suppura- success in cystitis and prostatitis. Still
tion, the clinical picture being governed more recently, I tried your No. 4 tablets in
by the general infection. Against the lat- a case of acute articular rheumatism, and
ter the local interference with the inflam- the pain and tenderness abated in forty
matory products in the meninges is power- eight hours. Your preparations are valuable
less. This view is supported by statistics, and I shall continure to use them in my
One-third of the patient"! recover without practic_. Yours Very Respectfully,
surgical surgical treatment, whereaa the j. H. Faust, M. D.