DISCUSSION ON INTESTINAL SURGERY.: FOLLOWING THE PAPERS ON THE DIAGNOSIS, PATHOLOGY, PROGNOSIS AND TREATMENT OF PERICÆCAL ABSCESS, AND ON INTESTINAL SURGERY. Read in the Section on Surgery at the Cincinnati Meeting of the Association.

Dr. Edmund Andrews, of Chicago, expressed his appreciation of the valuable papers that had been read, and was ready to endorse much that had been said. He objected, however, to the too free resort to laparotomy in any cases, especially in diseases of the cæcum. Many of these affections will recover without resort to surgical interference. The abscess if left to itself will find an exit.He reported a case in which a patient having advanced Bright's disease, of the cystic kidney form, complicated with advanced heart disease, developed an abscess below the umbilicus. Where it came from the doctor in attendance did not know. Finally the fæces began to discharge through the abscess opening. Exploration was resorted to. In following the fistulous opening of the abscess, the operator found that it passed through a mass of fat in the lower outer abdominal wall, then passed inward and upward toward