of lint dressing steeped in a watery solution of boracic
acid; in adults, he uses iodoform-gauze dressings. He finds cases unite
in from three to ten days. Dr. Bernheim warns us against using
antiseptics on infants or young children, in connection with the
after-dressing of circumcision. Neither phenic acid, corrosive
sublimate, nor iodoform are well borne by these young subjects, and he
has seen serious results follow upon as light an application as a 1/100
solution of phenic acid. In a number of cases he reports operating with
the galvano-cautery of Chardin, instead of the knife. These operations
were bloodless, and cicatrization was as rapid as when the knife was
used. He has in several cases operated by the dorsal incision, owing to
disease of the prepuce not allowing any other operation.
In France, the Bumstead operation is known under the title of Ricord's
procedure. Lisfranc, Malapert, M. Coster, and Vidal all have operations
which are not as useful as Ricord's, and have not, therefore, come into
general use. M. Sedillot condemns the dorsal incision as leaving two
unsightly-looking flaps. The reverse, or inferior incision of M. Jules
Cloquet is likewise not in favor with either Malgaigne or Ricord. This
inferior incision or section, alongside of the frenum was first advised
by Celsus. M. Cullerier contented himself with slitting the inner
preputial fold, longitudinally, from its junction with the skin backward
to the corona. M. Chauvin, by the aid of a complicated instrument with
barbed points, drew out the mucous fold as far as possible before
excising.
There is something unaccountable in the difference in results that
various operations give in the hands of different surgeons. It must be
that all methods are correct _with properly-chosen cases_ and when
properly _performed_, as well as properly looked after subsequently to
the operation. It must not be expected, however, that, in operations
where the kindly assistance of nature is a thing contemplated in
absorbing superfluous tissue, the case will at once give satisfaction to
all. These cases must have the required time before judgment can be
passed upon the merits of the operation, just as required time in cases
of dilatation or in the method of M. Cullerier will often demonstrate
that the benefits are but transient, and that often even cases that have
been so operated upon will require a complete circumcision, _a la_
Ricord or _a la_ Bumstead, owing to th
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