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November 23, 1912


JAMA. 1912;LIX(21):1867-1870. doi:10.1001/jama.1912.04270110281009

Irrespective of the justice of the conclusion, the fact remains that surgical procedures in general which affect children are not held in due regard by a large proportion of the general public and are not always regarded with favor by the profession.

Undoubtedly this present attitude has been fostered by the inadequacies of which I shall presently speak and while they remain the chief, yet they are not the only factors. I shall eliminate from this consideration all emergency cases, because these are often undertaken under the most unfavorable circumstances and the suddenness of the event leaves the parents unprepared for the exercise of clear judgment. But we must also recognize the fact that elective surgery among children comes in for a large share of public disapproval.

One of the difficulties of the situation is that we are unable to define surgical success satisfactorily. To the surgeon it means something

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