Transactions of the Southern Surgical and Gynecological Association . Fig. 5.—Temperature chart. Moderate operative reaction. Re-crudescence of fever corresponding to pulmonary infarcts during Fig. 6.—Photograph of patient taken November 28, 1920, thirty-seven days after operation. A mass weighing 3 pounds, 14 ounces, andincluding the entire left lobe of the liver, was removed. CHARLES H. PECK 293 wound open. The means of controlling hemorrhage, reportedby various operators, have been the elastic ligature, chainligatures through pedicles, and use of the cautery and pack-ing. I
Transactions of the Southern Surgical and Gynecological Association . Fig. 5.—Temperature chart. Moderate operative reaction. Re-crudescence of fever corresponding to pulmonary infarcts during Fig. 6.—Photograph of patient taken November 28, 1920, thirty-seven days after operation. A mass weighing 3 pounds, 14 ounces, andincluding the entire left lobe of the liver, was removed. CHARLES H. PECK 293 wound open. The means of controlling hemorrhage, reportedby various operators, have been the elastic ligature, chainligatures through pedicles, and use of the cautery and pack-ing. In some of the cases, as in my own, the tendency topedunculation of the tumor facilitated its removal, withoutgreat loss of blood. This tendency is evidently due to theweight of the tumor exerting a constant drag on the softliver tissue and weak ligaments. On the other hand, excisionof cases with broad attachments to the liver has been difficultand accompanied by serious hemorrhage. Incision into, oreven needle puncture of the tumor, has proved exceedinglydangerous and even fatal in some of the reported cases. Ibelieve our own case to be the largest tumor successfullyexcised in this country, and the s
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