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Article
September 3, 1904

THE SURGERY OF THE BILIARY TRACT.ESPECIALLY THE INDICATIONS FOR OPERATION AND THE IMPORTANCE OF DRAINAGE.

JAMA. 1904;XLIII(10):663-665. doi:10.1001/jama.1904.92500100001e
Abstract

The present communication seems to me justified only in the light of experiences which I have had during the past winter. We are still far from a satisfactory solution of many questions concerning the surgery of the biliary tract. The following are some of these questions:

(a) Should gallstones be removed even if they cause no symptoms?

(b) What is the importance of biliary drainage after opening the gall bladder or gall ducts?

(c) What is the best way of preventing hernia after operations on the biliary passages?

(d) What is the significance of the biliary fistula?

From the beginning, hernia in the scar and biliary fistula have been enough to dampen the surgeon's enthusiasm for a procedure which, in many other respects, is one of the most brilliant and effective in modern surgery.

The cause of hernia after operations on the biliary tract is the long incision and

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