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December 2, 1905


JAMA. 1905;XLV(23):1739. doi:10.1001/jama.1905.02510230039005

In these days of indiscriminate surgery, when the advent of asepsis allows and encourages the use of the knife by those who are not prepared to use it, the thinking internist is in danger of taking too conservative a view as to the necessity of operative procedures in certain classes of cases. Among the conditions which stand on debatable ground so far as operative indications are concerned, renal tuberculosis must be mentioned. There are many who believe that this condition is essentially a medical problem, and that operative treatment is to be resorted to only as a last chance, and this view is held even by genitourinary surgeons of note. In a paper before the recent Congress on Tuberculosis, Albarran,1 who has certainly earned the right to speak authoritatively on this subject, discusses the problem in a very lucid manner. The decision as to whether a given condition