Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ver have Glenards disease and should receivegeneral treatment for that condition. A number of operationshave been proposed for the relief of hepaptosis. The most satis-factory consists of shortening the suspensory ligaments, fasteningthe margin of the liver to the parietal peritoneum and attachingthe gall-bladder to the upper angle of the wound. Depletion ofthe liver by catharsis is a useful aid in obtaining relief. SURGERY OF THE LIVER. 499 Tuberculosis is a rare affection of this organ and is usual
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ver have Glenards disease and should receivegeneral treatment for that condition. A number of operationshave been proposed for the relief of hepaptosis. The most satis-factory consists of shortening the suspensory ligaments, fasteningthe margin of the liver to the parietal peritoneum and attachingthe gall-bladder to the upper angle of the wound. Depletion ofthe liver by catharsis is a useful aid in obtaining relief. SURGERY OF THE LIVER. 499 Tuberculosis is a rare affection of this organ and is usuallypart of a general miliary tuberculosis; rarely, however, a solitaryfocus exists resulting in a tuberculous abscess which may berelieved by incision. Mayo Robson reports such a case in whichtwo years subsequent to operation the patient was in fine treatment consists of incision, the removal of the fluid andcaseating masses and the application of i to 500 solution of tinc-ture of iodine or pure carbolic acid followed by alcohol. Drainageshould be obtained as in a simple Fig. I. The clinical aspect of actinomycosis is that of simple diagnosis is somewhat difficult and may be confused withtuberculosis and syphilis, but may be made by finding the char-acteristic ray fungus in the discharge or tissue. The value ofiodide of potassium in very large doses has been well establishedin these cases. Bevan recommends internal administration ofcupric sulphate in doses of one-quarter to one-half grain three 500 J. GARLAND SHERRILL, times a day. He advises the irrigation of the abscess cavity witha I per cent, solution of the same drug. Syphilitic tumor of the liver occurs with sufficient rarity tomake the reports of isolated cases of considerable interest, andtherein may be found the principal reason for recording thefollowing: On March 14, 1911, Mr. S., aged thirty-six, came to me wdtha very large growth in the upper abdomen, with the followinghistory: About
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