I saw for the first time, and examined Mrs. H. in consultation with Dr. Hartly Weems, of Rogers, in October, 1885.
Patient æt. 36, married nineteen years; no children, no abortions; physical condition fairly good; has had an abdominal tumor for very nearly two years. No cachexia. A tumor of considerable size was felt in the abdomen, reaching about six inches above the pubis, and mainly in left side. Bimanual exploration gave but little pain.
The character of the tumor was explained to the patient, and she was told that nothing short of an operation would afford any permanent relief. As the disease progressed it became more and more painful, and we were frequently importuned to operate. A puncture was spoken of, but the patient, on being told that the procedure would in all probability be only palliative, insisted on a radical operation. An operation was determined on and the