the operation by reducing the number of necessary
movements. For this reason, where an excision of considerable amount of
tissue is required by the nature of the case, he prefers another
operation, performed by Lallemand,--that of making a dorsal transfixion
and cutting off the two lateral flaps, which can all be done in three
movements.

It makes but little difference as to which operation is performed on the
adult, but that the subsequent dressing will exercise a good or evil
influence, and greatly assist not only in the present comfort or
discomfort of the patient, but in the ultimate result as well. Bearing
these points in view, Charles A. Ballance, of St. Thomas's Hospital, has
adopted the following procedure:--

"When the patient is etherized, the outline of the posterior border of
the glans is marked on the skin with an aniline pencil. The skin of the
prepuce is slit and removed up to the aniline line. The mucous membrane
is next cut away, leaving only a free edge of about one-eighth of an
inch in width. Any bleeding which occurs should be entirely arrested,
and asepsis must be insured by frequent sponging with carbolic or
sublimate solution. Numerous coarse-hair stitches are then inserted, so
as to bring accurately together the fresh-cut edges of the skin and
mucous membrane, and subsequently, after a further sponging and drying,
a piece of gauze two layers of thickness, and wide enough to reach from
the root of the penis nearly to the meatus, is wrapped loosely around
the penis and secured by several applications of the collodion-brush.
The setting of the collodion is hastened by the use of a fan, so that
the air is kept in motion, and the patient should not be allowed to
recover from the anaesthetic until the dressing is quite firm and hard.
This dressing forms a carapace for the penis, protecting it from the
bedclothes and effectually preventing the annoying and distressing
erections. Mr. Ballance reports excellent results from this dressing."
(Braithwaite's _Retrospect_, July, 1888.)

In applying the above dressing, the shrinking incident to the drying of
the collodion must not be overlooked, and the gauze layers must be
loosely applied, as they would otherwise become too tight. The dressing
is a very ingenious and serviceable one.

Mr. A. G. Miller, at a meeting of the Edinburgh Medico-Chirurgical
Society, reported a new method of dressing after circumcision. "It
consisted in first closely suturing the