61. _Extirpation of the Uterus._--Dr. RHEINECK, of Memmingen, was consulted by a female, who in December, 1824, was attacked by fever, from which she slowly recovered. A prolapsus of the uterus, which gradually became inverted, followed, attended with frequent haemorrhage and discharge, by which she was almost worn to the grave. The whole of the uterus was inverted, and without the labia externa; its surface loose, fungous, and in several places easily broken down upon pressure; but there was no hardening nor ulceration. The irritation was so great, as to threaten the patient's life, and after a consultation, in which it was agreed, that the swelling was really formed by the uterus, the tumour was laid hold of and drawn forwards, and a broad ligature, secured with a double surgeon's knot, was applied round its base. In about three weeks, the whole had separated, and the part above the ligature was cicatrized. During this period, the patient was dangerously ill, and was only rescued by great care and attention. The operator had before performed a similar operation, in which case, the patient died suddenly from haemorrhage, on the separation of the ligature. OSIANDER, STRUVE, LONGENBACK, SAUTER, SIEBOLD, and ZAUG, have in late years performed the same operation, with various degrees of success.--_Johnson's Review for April_, 1826, who quotes from _Siebold's Journal fur Geburtshulfe_, 1826. 62. _Uterine Haemorrhage._--In the Bulletin Universel for Jan. 1826, the following case is detailed from the Gazette de Sante, for Dec. 1825. A female aged 32 years, was taken with labour with her first child, on the 12th Feb. 1825. The pains soon ceased, and on the 15th of Feb. M. BEDEL, physician at Schirmack, was consulted, who speedily delivered her, by means of the forceps, of a dead child. The haemorrhage was so considerable, as to render the immediate removal of the placenta necessary; but the uterus did not contract, and the bleeding continued, with tremblings, syncope, cold sweats, &c. Irritation on the internal surface of the uterus, the use of cold water to the abdomen, injections into the uterus of cold water and vinegar, were unavailing. Plugging the vagina, and also the _uterus_, was now resorted to, as the only means of safety remaining. The uterus was filled with pieces of rags, for fear the patient could not sustain the loss of blood necessary to fill that cavity; while a methodic compression was at the same time made to the abdomen. The haemorrhage was immediately arrested, and soon after reaction ensued. On the 16th, M. BEDEL extracted the plugs from the uterus, cautiously and in succession; and had the pleasure of finding the uterus regularly contracting after each removal. The lochial discharge continued, and there was no secretion of milk. The patient recovered slowly.