Out of 3,460 operations for goiter performed in Professor Kocher's clinics in Berne up to date, 315 have been done on 254 patients afflicted with exophthalmic goiter, of which I will speak here.
My father, Theodor Kocher, was one of the first to operate on the thyroid gland in this disease, which he always claimed to be caused by hyperactivity of the thyroid. The results of his operations on the gland have been up to date so satisfactory that he has proceeded in very much the same way for the past twenty-five years.
I will say only a few words of other operations. In three excisions of the sympathetic nerve, to which I referred in my paper in 1902, the operations had absolutely no permanent or progressive effect on any symptom of the disease. Another, done two years ago, following an operation on the thyroid gland, merely to influence the
KOCHER A. THE SURGICAL TREATMENT OF EXOPHTHALMIC GOITER.. JAMA. 1907;XLIX(15):1240–1244. doi:10.1001/jama.1907.25320150006001b