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March 6, 1920

The Operative Story of Goitre. The Author's Operation.

JAMA. 1920;74(10):693-694. doi:10.1001/jama.1920.02620100053037

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As might be surmised from a glance at the title, in this book is presented a historical account of the development of the operative treatment of goiter. It brings out in a striking manner the enormous influence of the introduction of general anesthesia, and with it a more deliberate method of operating; of the development of aseptic technic, and of a third factor of which little is written, namely, the invention of the artery clamp. Hemorrhage, with or without infection, was the cause of death in most of the early strumectomies, and it might almost be said that the invention of the artery clamp made goiter operations possible. To the shallow faddist who gets his information from the advertising pages of his medical journals, and whose chief aim therefore is to be "up to the minute," this book will make no appeal; to the earnest student of surgery, to the

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