. American practice of surgery ; a complete system of the science and art of surgery . Ehrlichs diazo-reaction positive. Urine: Diazo-reaction negative. The treatment consists of extirpation if practicable, care being used to ex-tend the field of operation well beyond the diseased structures. Bibliography.—Koch, in Brit. Med. Jour., 1901.—Wagner, in Berlin. , Jan. 30th, 1905.—Shepherd, in Trans, of Brit. Med. Assocn, 1906.—Ito and Ashahara, in Deut. Zeit. f. Chir., May, 1906.—Crowder, in Amer. Jour,of Med. Sc, June, 1900.—Hemmeter, in Jour, of Amer. Med. Assocn, Feb. 29th, SURGICAL DI
. American practice of surgery ; a complete system of the science and art of surgery . Ehrlichs diazo-reaction positive. Urine: Diazo-reaction negative. The treatment consists of extirpation if practicable, care being used to ex-tend the field of operation well beyond the diseased structures. Bibliography.—Koch, in Brit. Med. Jour., 1901.—Wagner, in Berlin. , Jan. 30th, 1905.—Shepherd, in Trans, of Brit. Med. Assocn, 1906.—Ito and Ashahara, in Deut. Zeit. f. Chir., May, 1906.—Crowder, in Amer. Jour,of Med. Sc, June, 1900.—Hemmeter, in Jour, of Amer. Med. Assocn, Feb. 29th, SURGICAL DISEASES OF THE INTESTINES. 725 1908.—Coiirath. in Beitrdge zur klin. Chir., 1898.—Hartnian, in Brit. , April 13th, 1907; Revue de Chir., Dec.;, 1907.—Hoffnieistor, in Beitrcigezur klin. Chir., X\TI., 1896. VII. ACTINOMYCOSIS OF THE CECUM. In two hundred patients operated upon at Greifswald for inflammation ofthe caecum, Friederich found actinomycosis in four per cent. The primaryscat of the infection may be in the appendix. The disease develops slowly and. Fig. 277.—Tuberculosis of the Ctecum, with Perforation. (Natural size.) Above, is a cross-section of the ascending colon; below and to the right, is the ileum. At a point directly opposite theileum, is a perforation of the caecum, and just above the perforation the adipose tissue is thickenedand there is a constriction of the bowel. At a are two enlarged and tuberculous hanph nodes. (FromCullen, in the American Journal of the Medical Sciences, March, 1904.) is characterized by a hard infiltration which sooner or later involves the abdomi-nal wall and leads to the formation of abscesses and sinuses. Surgical intervention is rarely satisfactory, as it is impossible to remove all 726 AMERICAN PRACTICE OF SURGERY. of the infective material. It is claimed tliat better results are obtained by theuse of potassimn iochde in large interrupted doses. (Ochsner.) In a preliminary report on the Treatment of Act
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