An American Text-Book of Surgery, for Practitioners And Students

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Such applications may be practised once or twice a week, and in severe cases will often be followed by diminution in size of the mass, but scarcely ever by its total subsidence.
Of more formidable operative procedures, ligature of the thyroid arteries is perhaps the least severe, but is difficult. This, too, will sometimes give good results in the vascular and parenchymatous cases. When dyspnea is caused by pressure, a simple division of the isthmus will sometimes relieve it.
Enucleation or Par
...tial or Total Extirpation of the mass (thyroid- ectomy) is the radical ami final operation, which, especially in the Swiss and German clinics, is done with a death-rate of about 1 per cent. The operation is serious mainly on account of the dangers from hemorrhage. The most successful method appears to be that of incision of the fascial capsule, and shelling out of the tumor or tumors from within the fibrous investment, which usually can be done without great difficulty. The parenchymatous CG2 .l.V AMi:i:i( AX TKXr-HOOK OF srudKHY.

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