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July 15, 1905


JAMA. 1905;XLV(3):197-198. doi:10.1001/jama.1905.02510030055007

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Notwithstanding all the time and attention that have been devoted to the development of the surgery of tuberculous affections, there is probably no other disease with regard to which modern surgeons feel less satisfied. No matter how carefully operations are done, many of them are followed by long-continued suppuration that drains away the vitality of the patient and lessens the hope of ultimate recovery. Often the lesions of surgical tuberculosis occur in children who are least able to withstand this drain on their vitality. Then, too, even under the most favorable conditions serious deformity may occur, and the best results secured by the knife do not compare at all with those obtained by Nature's more conservative method. Unfortunately, under ordinary circumstances, Nature takes so long for the cure of serious tuberculous lesions that confinement, particularly in the hospital, often undermines the general health and not infrequently encourages metastasis of the

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