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July 9, 1898


Author Affiliations

Philadelphia; Philadelphia; Philadelphia; Buffalo; New York; Philadelphia; Chicago; Pennsylvania; Cleveland; Des Moines

JAMA. 1898;XXXI(2):55-61. doi:10.1001/jama.1898.92450020011002a

J. C. Wilson of Philadelphia—The resources of modern surgery have greatly simplified the work of the medical clinician. Forms of visceral disease that long baffled the art of medicine now yield promptly to surgical treatment. In the general category of pathologic conditions thus transferred from medicine to surgery many are primary, many secondary to infectious or other processes. The greater number of them do not tend to spontaneous recovery, so that a pure expectancy is without avail, while that modified expectancy which consists in the administration of drugs for the relief of symptoms is futile as to cure. In point of fact symptomatic treatment, while it allays suffering, very often darkens council by deferring accurate diagnosis and too long postponing surgical intervention.

In the list of visceral diseases not yielding to medical treatment and sooner or later to be transferred to the care of the surgeon are the