the stricture could be performed without the operation itself leading to equally certain fatal results. =Treatment.=—In the general treatment of penetrating wounds of the abdomen by gunshot, the surgeon can do little more than to soothe and relieve the patient by the administration of opiates, and to treat symptoms of inflammation when they arise on the same principles as in all other cases. The usual directions to attempt agglutination of the opposite portions of peritoneum by favorable posture cannot generally be carried out, the attempts being defeated by the restlessness of the patient. The collapse which attends such injuries may be useful in checking hemorrhage; and the exhibition of stimulants is further contra–indicated by the risk of exciting too much reaction, should the wound not prove directly fatal. If the wound be caused by grape–shot or a piece of shell, and intestine protrudes, it must be returned; if the intestine be wounded, sutures are inapplicable, as in an incised wound, without previously removing the contused edges. When the bladder is penetrated, care must be taken to provide for the removal of the urine, either by an elastic catheter, or, if this cannot be retained, by perineal incision. A freely communicating external wound prevents the employment of the catheter from being essential. A soldier of the 57th Regiment was wounded, on the 18th June, 1855, by a musket–ball, which entered the left buttock, fractured the pelvis, and came out about three inches above the os pubis and one inch to the right of the median line. The bladder was perforated; urine escaped by both openings, chiefly by the one in front. Here the catheter caused so much irritation that it was withdrawn; but the posterior wound soon ceased to discharge urine, and in eighteen days the anterior wound was free from discharge also. Seven weeks after the date of injury symptoms resembling those of stone in the bladder came on; these were relieved on three spiculæ of bone making their escape by the urethra. About the same time the anterior wound became again open, and some pieces of bone were discharged. After ninety–seven days’ treatment in the Crimea, the man was sent home—the anterior wound being still so far open that distention of the bladder, as from accumulation at night–time, led to a little oozing from it. This subsequently healed; and he was sent to duty on the 22d of November, nearly six months after the date of injury. GUNSHOT WOUNDS OF THE PERINEUM AND GENITOURINARY ORGANS.