This standard work has been so long and so favorably known that it is only necessary to point out some of the new and original matter wherein it differs from the preceding edition. The limited and unsatisfactory instruction in special subjects given in the medical colleges of this country, make the addition of three chapters of a preparatory character of great value to the young physician and the student. Besides various interesting and original investigations these chapters contain information that can otherwise be acquired only by the reading of a number of different works, several of which are rather inaccessible and purchased by the specialist only.
In the chapter on lacerations of the perineum a critical study is made of fresh and cicatrized lacerations and various forms of denudation are described, each adapted to a particular lesion. The authors favor certain kinds of flap operations in which only cicatricial tissue