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July 1923


Author Affiliations

Head of Section in Division of Surgery, Mayo Clinic ROCHESTER, MINN.

Arch Surg. 1923;7(1):37-46. doi:10.1001/archsurg.1923.01120010040002

In recent years, there has been great improvement in the immediate and end-results of surgery of the thyroid gland. During the year 1922, in the Mayo Clinic, 1,983 operations were performed on 1,497 patients with goiter. Nineteen patients died, a mortality by operation of 0.95 per cent., and by case of 1.2 per cent. In the earlier days of thyroid surgery, the relatively high mortality rate was an influential factor in the decision of many patients with goiter to seek means of cure other than surgery. Many of these finally came to surgery late in the course of the disease, when the operative risk was increased, and when the prospect of complete cure was greatly diminished. In this manner, a small vicious circle was created. But the knowledge of the benefits derived from surgery has gradually become more widely disseminated, and today a much larger proportion of patients with goiter

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