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March 16, 1889


JAMA. 1889;XII(11):381-383. doi:10.1001/jama.1889.02400880021005

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The Removal of Simple Mammary Tumors by Thomas's operation, says Dr. John Davey Hayward, while manifestly advantageous, seems to be but little known and seldom practiced. The operation consists in making the incision along the curved groove formed below the breast, where it hangs against the thorax (the groove may be marked while the patient is in the erect position); the gland is very readily turned up from the muscle, and the tumor removed from its lower surface by a radial incision. The primary incision is made away from the larger supply-vessels; the weight of the breast obliterates the cavity, and the drainage tube may be removed on the second day; primary union is the rule. Dr. Hayward reports the removal of an adenoma, the size of a small orange, from the upper sternal portion of the gland by this method. It is impossible to find any scar or sign

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