The statistics of the continental surgeons in reference to goiter have greatly added to the wholesome respect we have held as to their surgical skill. There the various operative methods of affording relief have been advanced to a high state of perfection. Especially is this true in localities in which goiter is endemic, where many surgeons have done hundreds, a few over a thousand, and the great surgeon, Kocher, is well along now in his third thousand of operations for goiter. Their mortality is low, and becomes less with increasing experience. In this country, where the disease is comparatively rare, the greater proportion of operations have been from necessity, and too often were delayed until a fatal result was a not infrequent occurrence. Few operators have had a large experience, and the mortality has been somewhat higher, taken as a whole, than that of continental surgeons; but possibly this difference
MAYO CH. THE SURGICAL TREATMENT OF GOITER.. JAMA. 1904;XLII(17):1059–1061. doi:10.1001/jama.1904.92490620001001
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