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December 18, 1926


JAMA. 1926;87(25):2106-2107. doi:10.1001/jama.1926.02680250064027

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Surgical Suppression of Chronic Visceral Pains  Prof. Emile Forgue of the University of Montpellier, during the "journées médicales" held in his city, expressed his views on nerve resection for control of chronic visceral pain. He held that healthy abdominal viscera are not absolutely without direct sensibility as Lemnander has contended, and that sensibility becomes marked when the viscera are pathologically affected, the seat of the sensibility being ordinarily in the vascular and nervous pedicle of the organ. The pain transmitted by the sympathetic nerves to the paravertebral ganglions may, in turn, awaken reflex cutaneous sensation in the same part of the body but not necessarily over the exact site of the lesion. McBurney's point does not correspond anatomically to the exact site of the diseased appendix. Likewise, reflex contraction of the muscles of the abdominal wall may result from a far distant lesion. In order to suppress pain, intervention should

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