For further details on the operations described above, reference may be made to Sir Spencer Wells's work on ovarian disease, and to the very valuable papers contributed by Dr. Thomas Keith to the Edinburgh Medical Journal. To the latter especially the author is indebted for much oral instruction, and for the opportunity of seeing his careful and dexterous mode of operating.

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144

Lect. on Surgery, 3d ed., vol. ii. p. 998.

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145

Operative Surgery, p. 462.

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146

Rough diagram of abnormal course of obturator and its relation to the neck of a hernia. Parts seen from the inside: h, femoral hernia; a, femoral artery; v, femoral vein; e, epigastric artery; o, obturator from epigastric (dangerous); s o, obturator from epigastric (safe); n o, normal course of obturator; i r, internal inguinal ring; Sp c, spermatic chord and its vessels; g, Gimbernat's ligament; +, in triangle of Hesselbach.

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147

Holmes's Surgery, 3d ed., 1883, vol. ii. p. 837.

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148

Clinical and Pathological Observations in India, pp. 44, 325.

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149

Wood On Rupture, 1863.

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150

Diagram of an artificial anus, showing small sutures which unite the edges of the gut and the skin, and the large ones stitching up the wound beyond.

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151

Diagram of section of prostate seen from the inside:—pf, pelvic fascia or prostatic sheath; rr, ring which must be cut; l, position of incision in the lateral operation; dd, position of incisions in the bilateral operation.

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152

Diagram of muscles of membranous portion of urethra seen from the inside:—ss, section of os pubis; u, urethra; g, Guthrie's muscle, compressor urethræ; w, Wilson's muscle, levator urethræ.

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153

Boston Medical and Surgical Journal, May 29, 1879.

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154

Gross, Surgery, 6th ed. vol. ii. p. 736.

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155

Holmes's Surgery, vol. iv. p. 392.

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156

See Miller's Practice of Surgery, p. 212.

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157

Solly's Surgical Experiences, pp. 537, 538, etc.

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158

The Immediate Treatment of Stricture. By Bernard Holt, F.R.C.S. London. Third Edition, 1868.

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159

Holmes's System of Surgery, 1st ed. vol. iv. p. 403.

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160

Diagram of puncture of the bladder:—b, bladder; sp, symphysis pubis; sc, scrotum; b, bulb; pr, peritoneum; p, prostate; r, rectum; s, sacrum and coccyx.

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161

Med. Chir. Trans., vol. xxxv.

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162

Diagram of operation for phymosis:—a, glans penis; b b, mucous membrane exposed by retraction of the skin, and slit up; c d, sutures introduced and ready to be tied, uniting the skin and mucous membrane.

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163

To illustrate Teale's operation:—c, section of penis b, thread inserted uniting mucous membrane and skin; a, thread tied.

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164

Med. Times and Gazette, vol. xix. p. 354.

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165

Miller's System of Surgery, p. 1255.

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166

Miller's System of Surgery, p. 1256.

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167

Syme's Pathology and Practice of Surgery, p. 220.

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168

Holmes's Surgery, vol. iii. p. 573.

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169

Cross's Surgery, vol. ii. p. 273, 3d ed.

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170

Miller's System of Surgery, p. 1339; Holmes's Surgery, vol. iii. p. 571.

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