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It is proper to acknowledge, by way of introduction, that no operation in surgery of equal importance has been performed as often or with as uniform success as that for the relief of internal hemorrhoids. This record is all the more remarkable when the number and indiscriminate qualifications of the operators are considered and when the many diverse methods advocated and parcticed are called to mind.
It is probably no exaggeration to say that operation by the ligature and clamp-and-cautery methods has been performed hundreds of thousands of times under every imaginable condition, with a resulting mortality so low as to be practically negligible. And the same is true of an additional large number of cases in which the long list of modified and new methods have been employed. With this phenomenal history of achievement, it would seem that there is little ground for criticism either of the standard or
COOKE AB. HAVE WE AN IDEAL OPERATION FOR INTERNAL HEMORRHOIDS?A NEW HEMORRHOID CLAMP. JAMA. 1911;LVII(7):538–540. doi:10.1001/jama.1911.04260080102005
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