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February 7, 1885


JAMA. 1885;IV(6):161-162. doi:10.1001/jama.1885.02390810021009

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Paris, Jan. 9, 1885.

In his thesis for the doctorate, " On the Conditions for Surgical Intervention in the External Localizations of Tuberculosis," Dr. Coudray formulates certain rules which the surgeon might attend to with advantage to himself as well as to his patient. In a general way, the author states that external tuberculoses necessitate intervention only in such cases as do not present a spontaneous tendency to cure. The natural tendency to cure, which is frequent in a certain class of patients, constitutes, on the contrary, the exception with those who frequent the hospitals. The formation of secondary foci, consecutive to operations, may be considered a rare circumstance, if not exceptional. The doctrine of auto-inoculation, according to the same author, is no argument against intervention. The rule by which a tuberculous lesion should be removed as soon as it becomes a cause of wasting debility, is, according to Dr. Coudray,

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