. Annales de chirurgie . t retour, suivi-pas obtenu. i6 9 x5cm. 22 jours, zone de granulation)-i cm. Diamètre n'est pas retourné. Cas recevant un traitement opérativeTreatment. 6 10 x 9 cm. Cas opératoire de 62 jours. 14 9.5 x 8 cm. 77 jours, guéri sauf cas opératoire de la croûte avant-petite. Qui ont été traités par incision cruciale. L'un d'eux, le troisième plus grand carbunkof de la série, a montré 9 mois après l'opération une cicatrice cruciale, ridée et déprimée, 11 cm. Transverely et 6.5 cm. Verticalement. L'autre, un peu carbuncle de tlysmaller, 2 mois après l'opération, avait une cicatrice enfoncée et plissée, 5.5 x 5 cm. ()

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. Annals of surgery . t return, follow-upnot obtained. i6 9 x5cm. 22 days, granulating area)-i cm. diameter Did not return. Cases Receiving OperativeTreatment. 6 10 X 9 cm. 62 days Operative case. 14 9.5 X 8cm. 77 days, healed except forsmall crust Operative case. which were treated by crucial incision. One of these, the third largest carbuncleof the series, showed 9 months after operation a crucial scar, wrinkled anddepressed, 11 cm. transversely and 6.5 cm. vertically. The other, a slightlysmaller carbuncle, 2^ months after operation had a depressed, wrinkled andpuckered scar, 5.5 x 5 cm. ()5(i CONSERVATIVE TREATMENT OF CARBUNCLES The feeling of the patients toward the treatment is distinctly favorable.This applies especially to the patients who have sutTered with previous car-buncles or boils, and have comparisons to make with other forms of treatment.Case number 8 had had a number of boils prior to the carbuncle, and at follow-up he volunteered the information that he much preferred the X-ray treatment. Fig. 7.—Case XI. Eight months after treatment. Showing end result on small carbuncles.Slaximum size of this carbuncle was 3-5X2.5 cm. to any other kind of treatment he had received. His scar measured54 xj4 cm. 5 months after treatment, and was no larger than the scars of hisboils. Patient number 7 had had many small carbuncles prior to the onereported, hen he returned 48 hours after X-ray, with the slough out andthe wound granulated level with the skin, he volunteered the statement thatin each of his previous carbuncles this period had found him sufferingseverely, with the carbuncle at its worst, and his physician trying applicationof cups to bring relief and cure. Patient number 12, a physician, who had avery deep seatefl process, and whose pain had been the most prolonged andsevere of any of the cases, and whom I therefore regarded as my least favor-able successful case, stated at his follow-up, 3 months later, that he was very*2 657 RAY M ox I) W. LEWIS gl

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