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October 2, 1897


Author Affiliations


JAMA. 1897;XXIX(14):679-683. doi:10.1001/jama.1897.02440400015002e

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Only a few years ago the surgeon scarcely dared to invade the sacred domain of the brain. Emboldened by the triumph of aseptic metheds in dealing with the surgery of the peritoneal cavity, it followed that the same principles might possibly triumph in the surgery of the meninges and brain. Today accurate results are reached in both, so that sepsis is practically eliminated, and dealings with the brain surgically will depend on intrinsic factors rather than extrinsic for the achievement of practical results. This was the sine qua non, without which all reports of results of operations, would be indefinite and unfit to give an adequate idea of the value of a surgical procedure applied to the brain, to achieve or fail in achieving a stated result.

Taking it for granted, therefore, that asepsis has been maintained and considering the subject purely from an intrinsic standpoint, the object of this

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