. Transactions of the Southern Surgical and Gynecological Association. ].-„. 3. —dishing peritoneal suture closing bladder wound. C )auo. • V Fig. 4.—Removal of large amount of bladder with transplantation of ureter. CHARLES H. MAYO 53 temporary relief, the growth of the recurring tumor being morerapid and the ultimate condition of the patient, if anything,worse than before the operation. Tumors with a pedicle must be remoyed to the mucosa andthe growth cauterized or curetted. If malignant, the thoroughoffice of the cautery should be giyen preference. Tumors with a broad base of attachment
. Transactions of the Southern Surgical and Gynecological Association. ].-„. 3. —dishing peritoneal suture closing bladder wound. C )auo. • V Fig. 4.—Removal of large amount of bladder with transplantation of ureter. CHARLES H. MAYO 53 temporary relief, the growth of the recurring tumor being morerapid and the ultimate condition of the patient, if anything,worse than before the operation. Tumors with a pedicle must be remoyed to the mucosa andthe growth cauterized or curetted. If malignant, the thoroughoffice of the cautery should be giyen preference. Tumors with a broad base of attachment to mucosa shouldbe remoyed and the actual cautery applied over the area. Nowhere in surgery is an immediate examination of re-moved tissue of more importance than in these cases, and if byimmediate frozen section they are shown to be malignant, theinvolved area of the bladder is resected as well as cauterizedat its margins. There are few lymphatics in the bladdermucosa; therefore, it is often noted that a malignant tumormay remain for a long period as essentially a local disease. Carcinoma of the bladder involving local areas and
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