A Text-Book of Medicine, volume 1

Cover A Text-Book of Medicine, volume 1
A Text-Book of Medicine, volume 1
Georges Dieulafoy
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Condition quite satisfactory a month after operation. Ex- ophthalmos still present, although lees, tremor oured, no trace of dyspnoea, sleep good, no nervous symptoms. The future will show the ultimate worth of the operation.
In spite of the successes above set down, as well as two other cases reported by Doyen, it is none the less true that operations in exophthalmic goitre expose the patient to very grave danger.
We may therefore form a judgment upon the advantages or disadvantages of such op
...erations in Basedow's disease. It seems, however, well estab- lished that the disadvantages outweigh the advantages. Operation, even when performed under the most favourable conditions, does not protect the patient from very grave risks, nor the surgeon from terrible surprises.
The results obtained are temporary or incomplete. For these reasons I should be very loth to advise this operation.
Another operation — viz., double section of the great cervical sympathetic — was first performed by Jaboulay.


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