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In giving the above title to my paper the fact is indicated, at least, that such a procedure is advised, and I may add, is strongly recommended by many. With true deference to all such, I shall raise the question as to its justification, and will try to adduce sufficient reasons for putting the question in the attitude of being mooted. It can not be gainsaid that some, if not many surgical operations, are done with but little to recommend them. In this age of progress in surgery, I opine that some of us are led astray into doing operations as much to test the efficacy, methods, etc., of others, and to put ourselves in line, as to accomplish that which should be the surgeon's chief aim, viz., to relieve the patient. It can not be denied either that there is what might be properly called a rage in surgical
JOSEPH M. MATHEWS. IS TOTAL EXTIRPATION OF THE RECTUM EVER JUSTIFIABLE?. JAMA. 1895;XXV(3):94–95. doi:10.1001/jama.1895.02430290008001c