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December 12, 1908


JAMA. 1908;LI(24):2058-2059. doi:10.1001/jama.1908.25410240046002a

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In American Medicine, June, 1901, I described an operation for the radical cure of internal and external hemorrhoids by excision, and a clamp used in this operation. The results of more than 500 operations by the excision method in private and hospital cases, after more than 500 operations by the clamp and cautery, have satisfied me that the first-named method is the only surgical treatment for hemorrhoids. Excision by the method I advocate in no way resembles Whitehead's operation, which I fervently condemn.

Since the publication of the article above referred to I have modified the operation somewhat, and at the present time in many cases use no special clamp, but pick up each tumor with ordinary hemostats and excise and suture the pedicle.

In the article just mentioned I described a method by which I clamped up the tumor in its entirety close to its base, shaved off the

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