. Plexus. frequent atria of infection. Non-operative Treatment.—If an operation is deemed in-advisable or is objected to, the ideal treatment is to sendthe patients to the mountains or to the seashore. If it isfound impossible to follow such a plan, the use of tonics—cod-liver oil, guaiacol, iodide of iron—is of aid, providedthat the process is not a very active one. If the latterexists, no medical treatment will be of much avail. I donot believe that the external use of iodine is of any regard to the X-ray, I am frank in saying that my ex-perience does not warrant an expression of
. Plexus. frequent atria of infection. Non-operative Treatment.—If an operation is deemed in-advisable or is objected to, the ideal treatment is to sendthe patients to the mountains or to the seashore. If it isfound impossible to follow such a plan, the use of tonics—cod-liver oil, guaiacol, iodide of iron—is of aid, providedthat the process is not a very active one. If the latterexists, no medical treatment will be of much avail. I donot believe that the external use of iodine is of any regard to the X-ray, I am frank in saying that my ex-perience does not warrant an expression of opinion. Operative Treatment.—A study of the statistics of variousauthors will convince one that a thorough and radical extir-pation of every enlarged tuberculous node will not only givethe best prospect of immediate immunity, but also of free-dom of development of foci in the lungs, bones, peritoneum,kidney and testis at some period in the future. What do statistics of operative interference show?. Fig. Fig. 6. I. Exposure of internal jugular lymph-nodes A, in upperhalf of neck, by retraction of the sternoclidoruastoid muscle; M Anterior jugular vein. ./. Internal jugular vein. The lymph-nodesare shown attached both fo the carotid artery (shown in white) and to theinternal jugular vein. O. Omohyoid muscle. II. Exposure of lymph-nodes in posterior triangle by retraction of sternoclidomastoid muscle[M) forwards. 6. This latter is placed just below the point of emergenceof the spinal accessory nerve from the middle of the muscle. J. Internal 114 The Plexus. jugular vein, to which a large number of lymph-nodes are shown ad-hereut. In 745 cases collected by Bios from eleven sources, over54 per cent showed permanent recovery. Six years was re-garded as ample time after operation to be considered a per-manent result. Of 140 cases collected by Jordan, 20 showedinvolvement of the lung before operation, and at a laterexamination 16 of these were well and free from pul
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