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so as to convert the two into a single opening. [Wuertz adds that he had never found it necessary to act in accordance with this advice.] After the pus or clot of blood has been removed, one may as a rule readily discover the true cause of the pain and other symptoms. As a final step, suitable dressings should be applied to the wound.
 * vening bone should be broken down with a strong and sharp knife

Another important department of practical surgery, in which Wuertz appears to have gained special distinction, is that which relates to wounds and certain diseases of the abdomen. Owing to lack of space it will not be practicable to reproduce here any histories of the cases of this nature which came under his observation, but I believe that the following brief extracts from his remarks upon the best way of treating them may in some measure answer the same purpose:—

Penetrating wounds of the abdomen are universally admitted to be very dangerous, no matter what organs (stomach, intestines, liver, gall-bladder, spleen or kidneys) be involved in the injury. In the case of a wound of the liver or spleen it is not advisable to employ sutures; instead, one may use some kind of sticking plaster for bringing the edges of the wound together. Proper regulation of the diet plays an important part in the treatment of these conditions, and so also may venesection. When an intestine is the organ wounded I adopt the plan of treatment recommended by most authorities; that is, I stitch together the opposite edges of the wound and I cleanse the surface of the bowel carefully with milk that has been well saturated with the juice of anise seeds.

In his remarks about the treatment of suppurative processes involving the thigh in the vicinity of the knee, Wuertz gives the following advice:—

Do not allow the knee to remain quiet, but stretch the surrounding parts and manipulate them as much as you can, in order that the joint may not become permanently rigid; for if you wait until the healing is completed before you resort to these measures you will often find that it is already too late.

Separate chapters are devoted to such topics as would to-day receive the designations "pyaemia," "hospital