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June 15, 1929

Surgery in the Tropics.

JAMA. 1929;92(24):2046. doi:10.1001/jama.1929.02700500058030

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This is an excellent monograph for surgeons operating in the tropics and is well worth perusal by operators in the temperate zone, who are meeting with an increasing number of heretofore rare surgical complications resulting from imported tropical parasites. Writing on actinomycosis, Connor makes the statement that it rarely attacks the human jaw and that the cecum and appendix are favorite sites in cases of intestinal infection. An excellent description of madura foot is given. The amebic dysenteries are discussed in several chapters. Surgery is indicated in chronic cases and in severe cases in which the patient is seen to be going down hill in spite of medical treatment. Appendicostomy, valvular cecostomy, ileostomy and ileosigmoidostomy (misspelled sigmoidoscopy in the text) are advocated. It is interesting to note that "the treatment of amebic abscess by open incision is becoming an exceedingly rare operation (in the tropics) because of the danger of

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