e whole business in more than one case. Like the
fable of the poor lamb that the wolf wished to devour: the real reason
of his wishing to kill him was that he might eat him, the pretext set
forth by the wolf that the lamb had encroached on his pasture, muddied
his brook, or kept him awake by his bleating having been disproven by
the lamb. Besides, it is well not to leave any distinctive or
distinguishing mark, like an individual baronial crest, on the head of
the organ.

To return, however, to the operative procedures, we find that Dr. Vanier
finds that the operation of Cloquet by incision alongside of the frenum
has the advantage of not leaving any deformity--contrary to the opinion
of Ricord and Malgaigne. He, in fact, holds this procedure in such high
esteem that he considers that Cloquet deserves great credit for reviving
this old Celsian operation. H. H. Smith, in his "Operative Surgery,"
coincides with Vanier in his favorable opinion of this method, as he
there says: "Frequent opportunities of testing the advantages of the
plan of Cloquet having satisfied me of its value, I do not hesitate to
recommend it as that best adapted to the adult, because it fully exposes
the glans and leaves little or no lateral deformity, as is frequently
the case with the dorsal incision,"--an opinion that I can fully agree
with, from the results of the same operation in my hands, although I
have used the method even on infants. Vanier does not approve of the
dorsal incision unless it is made V-shaped, as it otherwise leaves the
unsightly lateral flaps, but thinks well of the modification of
Cloquet's practiced by M. Vidal de Cassis, which is performed in the
following manner: The patient stands before the operator, who remains
sitting; the operator seizes the prepuce on its dorsum and draws it
toward him; he then introduces a narrow, sharp-pointed bistoury, with
its point armed with a small waxen bullet, down alongside of the frenum
until he reaches the pouched extremity of the preputial cavity at this
point; the point of the bistoury is now made to transfix the waxen
bullet and out through the skin, which from this point is divided from
behind forward. Vanier very sensibly suggests that the operation that is
effectual, and which can be accomplished in the least number of
movements or _temps_, as being the least likely to cause extensive pain
and agony, should be the one preferred, and that the aim of the surgeon
should be to simplify