The practice of surgery . - single, and may grow to the size of a hens egg, beingsituated near the suspensory ligament usually or near the entranceof the portal vein. Lobulation results from cicatricial contraction fol-lowing the absorption of syphilitic Fig. 84.—Knotts method of suturing the liver. Tlie transverse interrupted sutures introduced. The symptoms of syphilitic liver are indefinite and somewhat first evidence is often a movable lobe suggesting floating kidney,or there may be ascites, due to pressure on the portal vein; jaundiceis .rare. These tumors cannot alw


The practice of surgery . - single, and may grow to the size of a hens egg, beingsituated near the suspensory ligament usually or near the entranceof the portal vein. Lobulation results from cicatricial contraction fol-lowing the absorption of syphilitic Fig. 84.—Knotts method of suturing the liver. Tlie transverse interrupted sutures introduced. The symptoms of syphilitic liver are indefinite and somewhat first evidence is often a movable lobe suggesting floating kidney,or there may be ascites, due to pressure on the portal vein; jaundiceis .rare. These tumors cannot always with certainty be differentiatedfrom cancer, even when the abdomen is opened. It is seldom wise toattempt a removal of a syphilitic nodule, because specific treatmentwill frequently suffice to subckie the symptoms. If a partiall} detached TUMORS OF THE LIVER IGl lobe protrudes,, however, and makes trouble, it mav be removed withthe cautery, and the hemorrhage may be controlled by such deepstitchmg as I shall describe presently. Some six years ago I removedsuch a lobe from the liver of a woman who had complained for severalyears of constant abdominal pain. The result was entirelv satisfactoryIn her case, before operation,, the tumor was supposed to be


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910