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In improvising this method an effort has been made to utilize three fundamental principles which are recognized as the best that modern medicine affords for the treatment of this class of cases.
First, enucleation of the ulcer or, if it be a case of tumor and involved lymphatic glands, the complete removal of both glands and tumor; second, drainage accomplished by leaving the wound wide open and allowing it to heal by granulation instead of closing the skin over and obtaining union by first intention; third, treatment of the open wound with the Roentgen ray.
The details of this method are carried out as follows: The patient is prepared for operation in the usual manner, with one exception. Instead of scrubbing the site of the operation a soap poultice or plain antiseptic dressing is applied and left until the patient is anesthetized. The reason for not scrubbing is that any
WITHERBEE WD. THE "OPEN METHOD" TREATMENT OF CANCER.. JAMA. 1907;XLVIII(25):2114-2115. doi:10.1001/jama.1907.25220510032002b