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SURGICAL SKILL

pened at Vavaoo, at different times. In eithercase the disease came on suddenly, three orfour days after the wound was received, whichwas from an arrow not barbed. The momentthe symptoms became evident iocolosi was per-formed. In the short space of two hours oneof them was greatly relieved, and the other inabout six or eight hours. The following daythe one on whom Hala A/pi A'pi operated wasquite well, and afterwards had no other attack;consequently the thread was withdrawn: butthe other on the second day was not quitefree from spasmodic symptoms, and a paroxysmcoming on, the seton was moved frequently,which in two or three hours gave him great re-lief, and he afterwards had no other attack : itwas thought prudent, however, to keep in theseton till the fourth or fifth day, when it waswithdrawn. The effect of this operation was aconsiderable pain and tumefaction of the penis,but which gradually subsided (in about five orsix days): the artificial openings in both caseshealed spontaneously, without any difficulty.

These are the only two cases of tetanus inwhich this operation was performed that Mr.Mariner can speak of with certainty, havingbeen an eye-witness of them. He heard ofseveral others at the Hapai islands, at the islandof Tonga , &c. some of which were equally for-