Obstetrics and Gynæcology—The Origin of Papillomatous Cysts—An Axis-Traction Forceps—A Study of Puerperal Fever or Septico-Pyæmia—Treatment of Vesico-Vaginal Fistula by Operation from within the Bladder

inann (Monatschriftj. Geburtsh.n. Gyniik., February 181)5) believes that there is 110 truth in the current theory that papillomatous cysts of the ovary and broad ligaments are developed from the parovarium. He goes further than Whitridge Williams, who has stated his opinion that these cysts are sometimes developed from elements belonging to the Fallopian tube itself. Williams has detected tube-like involutions in ovarian tissue which he actually traced to tubal fimbriae. Kossmann holds that what Williams considers expectional is really the rule. He attaches great importance to accessory tubal structures originally part of Muller's duct like the normal tube itself. The structures are seen not only as accessory ostia and accessory fimbria3 on the surface of the tub?, but also as pedunculated fimbriae or pedunculated cystic bodies springing from the surface of the broad ligament below the tube. Kossmann finds, as the