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April 18, 1891


JAMA. 1891;XVI(16):569-570. doi:10.1001/jama.1891.02410680029014

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To the Editor:  —Page 271 in No. 8 of The Journal contains an article on " Painless Circumcision" by Dr. G. W. Overall, with which I was much pleased. It is a great step in advance of the old method of giving chloroform, which several times in my practice endangered the life of the little patient. Since then I have to a certain extent followed the method of Dr. Overall. That is, I have used a 20 or 30 per cent, solution of cocaine and injected 10 or 15 drops with a blunt pointed glass syringe into the preputial orifice, pressing the prepuce tightly around the end so as to retain the fluid, after removing the syringe. I churned the fluid cocaine so as to come in contact with the entire mucous membrane for ten or fifteen minutes. I at the same time sprayed over the entire integument where the circumcision

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