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October 23, 1926

Surgery of Neoplastic Diseases by Electrothermic Methods.

JAMA. 1926;87(17):1414. doi:10.1001/jama.1926.02680170068035

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The author reports an experience extending over five years in the treatment of a large number of tumors, using the heat produced by high frequency currents. He accepts for the surgical application of these currents the name "endothermy" proposed by Delherm and Laguerriere, reserving the term "diathermy" for the production of heat within physiologic limits for medical purposes. The author's well founded plea for a simple and exact terminology is weakened by some inaccuracies in his own usage. He talks of monopolar current, a self-contradictory statement, and says that the heat is produced by the oscillations of the current employed. In bipolar electrocoagulation, the d'Arsonval current was discarded long ago in favor of currents of low voltage, high amperage and shorter pauses between the oscillation groups. For the severing of tissues, the author uses his modification of the De Forrest needle, whose application is described in detail. For destruction of

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