Acute Pancreatitis with Methaem-albuminaemia

type of operation is indicated. In some of these cases a minor operative procedure of adductor tenotomy and manipulation combined with psoas release, capsulotomy, and forage has been deemed advisable, except in those with symptoms related to a subluxing hip seen on radiographs. These minor operations keep the patient in hospital for only two weeks. Major procedures are unlikely to be successful in maintaining professional sportsmen in vigorous active sport. However, in those cases seen for the first time with advanced symptoms, especially those with subluxing hips, it has been found a waste of time to attempt conservative treatment, or the above described minor operations. These cases can only be helped by one of the major procedures. I am convinced, nevertheless, if the medical profession diagnosed osteoarthritis in the earliest stages and the patient is prepared to carry out an exacting programme of self-treatment, the symptoms of many cases could be aborted or the progress of the disease held in check for many years without operation.-I am, etc.,