Halstead refers to a case of bilateral peroneal paralysis following salpingectomy in the Trendelenburg posture which disabled a patient for six months. On the whole prognosis is favourable, and recovery the rule. Büdinger has described a case in which the upper limb was paralysed after an abdominal operation. The patient died some weeks later, and a clot of blood was found pressing on the surface of the brain at a spot corresponding to the arm centre. REFERENCES BÜDINGER. Über Lähmungen nach Chloroformnarkosen. _Archiv f. klin. Chir._, 1894, Bd. xlvii. 121. COTTON, F. J., and ALLEN, F. W. Brachial Paralysis--Post-narcotic. _Boston Med. and Surg. Journal_, 1903, cxlviii. 499. HALSTEAD, A. E. Anæsthesia Paralysis. _Surgery, Gynæcology, and Obstetrics_, 1908, vi. 201. TURNEY. Post-anæsthetic Paralysis. _Clinical Journal_, 1899, xiv. 185. =Giving way of the wound.= After cœliotomy the patient runs a risk of the wound being burst open, and this accident seems particularly liable to happen in cases where catgut has been selected for the suture material. Accidents of this kind belong to two categories:-- 1. Many cases occur in patients from violent coughing or vomiting, as the straining causes the knots of the sutures to slip. 2. In feeble patients, and those debilitated by anæmia, diabetes, &c., and especially in septic wounds, the union of the edges of the incision unite very slowly; if the sutures are taken out on the eighth day, as is the custom, the wound is liable to burst asunder. This accident is prone to occur in patients whose abdominal wall has been greatly distended by a large tumour, and especially by pregnancy. On the whole the accident is more prone to complicate Cæsarean section than any other operation on the pelvic organs, and cases have been reported in which there has been a repetition of the accident. The largest collection of case-reports in which the wound has burst open after cœliotomy has been made by Madelung; a perusal of his paper shows that it is an accident with a high mortality. It is a fact that cases of this kind are rarely published, and from inquiries I find that it is of common occurrence. It has certainly diminished since surgeons have widely adopted the method of securing the wound with buried suture, but this is not always a preventative. The complication which makes the accident so unfortunate for the patient is the protrusion of the intestines. In dealing with this condition the surgeon carefully and gently cleans the extruded intestines and omentum with sterilized water, returns them into the abdomen, and resutures the wound. REFERENCES MADELUNG, O. Ueber den postoperativen Vorfall von Baucheingeweiden. _Verhandlung. d. Deutschen Gesellsch. f. Chir._, Berlin, 1905, xxxiv, 2. Theil, p. 168.