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July 19, 1941

The Rôle of the Liver in Surgery

JAMA. 1941;117(3):234. doi:10.1001/jama.1941.02820290076034

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This monograph was awarded the quinquennial Samuel D. Gross prize for research in surgery by the Philadelphia Academy of Surgery in 1940. The author emphasizes the concept that the liver is important in surgical conditions and substantiates it with personal research work. He brings out the idea that various individuals have a "hepatic weakness" and are liable to "liver deaths" following any type of surgery. The first chapter of the monograph deals with classification, reports of experimental observations and the evolving of the author's concept of the hepatorenal syndrome. Liver function tests are critically evaluated. The author's vast experience with the Quick hippuric acid test is reported. Results in health and the effects of anesthesia, postoperative states, biliary tract disease, thyroid disease and other conditions are given and elaborated on. A large chapter is devoted to the role of the liver and jaundice in hemorrhagic diathesis. This is an excellent

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