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Autotransfusion of blood from severe haemorrhage is mentioned as the
method of treatment in two cases and success from drainage without removal
of the appendix in children with acute perforated appendicitis is recorded in
several cases (Ochsner-Sherren delay treatment).
From Lucknow.—A case of a Ranula of 6 months duration was reported
and cured by operation. It was of such a size as to fill the floor of the mouth
and to extend down to the cricoid cartilage to displace the sterno-mastoid.
From Ambala.—A typical case in a B. O. R. of Krohn's disease, chronic
thickened regional ileitis, was operated upon with excision of the lower end
of the ileum.
A B. O. R. with a cirsoid Aneurysm of the superficial temporal artery
(L) due to a boxing injury 4 months previously was successfully operated upon
and will be cured when the thrombosed mass can be removed.
A case of subcutaneous ganglion-neuromata was treated by excision of
the painful tumours. The patient was a poor mental type.
A civilian case (a Wazir) was operated on 5 days after a history of sudden
pain during heavy exertion suggesting possibly a perforated gastric ulcer. It
was found that the splenic flexure, the colon and the spleen had been forced
up through a rent in the diaphragm into the thorax. The patient's condition
was hopeless when seen.
From Bannu.—A Hydated cyst of the left Erector spinal muscle which
appears to have made a complete recovery. The man was in the I. A. V. C.
A branchial cyst which was removed from the left carotid and 2nd and
3rd cenical vertebrae of a young soldier from Manzai with uninterrupted
recovery.
From Peshawar.—A case of malignancy of the right testical which proved
to be a seminoma is of interest in that Friendmann's test (urine test for malig
-nancy) was positive before the operative removal of the organ and although
still positive was only one fifth of the previous degree 10 days after removal.
From Secunderabad.—A case of an Officer with a leather bottle stomach,
diffuse fibrocarcinoma, diagnosed by X-ray and confined by subsequent opera
-tion at Home.
An Officer who was thrown out of a Tank. Seven hours later splenec
-tomy and blood transfusion were performed for ruptured spleen. He made
an uninterrupted recovery.
(iv) Treatments. From Razmak.—Oriental sore treatment with tartar
emetic gave an average period of 4 weeks for a cure in 20 cases of oriental sore
and in a number of other chronic ulcerative conditions which had repeatedly
proved negative for Leishmaniasis.
Lerich's method of treatment of sprained ankle. About 40 cases were
treated by this method, selection being governed by the time after injury.
Success being given by treatment a few hours after the injury. The technique
consists in injections of 2 per. cent Novocain into the exact ligament which
has been injured followed by active movement (walking) supported with elasto-
plast. Great relief is felt and a 50 per cent improvement in the period of dis-
ability is obtained. The results appear to be due to relief of pain in the early
stages.
From Cawnpore.—The use of a Zinc Gelatine glue for the treatment of
sprains is described as being successful. This is heated until fluid and then
applied as a fluid paste on to the shaven skin over the sprained part.