The number of cases in which operative procedures, as recommended by Talma and Morrison, have been resorted to, is still so small that each additional case is of interest and should be placed on record, to enable us to determine the value of the operation and its technic. I am able to report the following three cases:
—J. A. B., Oct. 9, 1900; aged 46; occupation, moulder; appetite, fair; bowels usually regular; urine normal; has had pain through the liver region at times for the last 3 or 4 years; had an attack of jaundice 23 years ago; is a constant and very heavy drinker of alcoholics; at times has a good deal of trouble with his stomach owing to an excess of mucus. Area of liver dulness is somewhat diminished. Has a small accumulation of ascitic fluid.
—The patient having, from his history and physical signs,