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Article
October 14, 1922

THE CAUSES OF SURGICAL FAILURE IN HYPERTHYROIDISM

Author Affiliations

Assistant Professor of Surgery and Instructor in Surgery, University of Oregon Medical School PORTLAND, ORE.

JAMA. 1922;79(16):1289-1291. doi:10.1001/jama.1922.02640160009003
Abstract

A review of the literature shows that from 65 to 75 per cent, of the patients operated on for exophthalmic goiter make a complete recovery. The majority of the remaining 25 to 35 per cent, are benefited; but some show no improvement, and death occurs in from 1 to 4 per cent. In the cardiovascular group of goiters, including the toxic adenomas, adenomatosis and compensatory hyperplasia, better results are obtained. During the last two and a half years, approximately 300 cases of goiter of various types have been studied. In this group have been several cases in which the patients had been previously operated on without complete relief. These cases were studied in conjunction with unoperated cases of similar types in order to determine, if possible, the causes of the incomplete results or failure. These causes have been classified thus: (1) errors in diagnosis; (2) overestimation of the patient's resistance;

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