. Annals of surgery . GAGE AND ADAMS. Altliough nientiuii is made in the literature of nephrectomy with removal of the retroperitoneal gland tissue as a possible means of securing an ultimate cure, it is our opinion that such a procedure can only result in even a higher operati\x nmrtality tlian now exists. In our experience. e\en those cases which present good risks suffer from severe shock, greater even,when we have done nothingmtire than a rapid and nearlybloodless nephrectomy. Veryyoung children withstand majorprocedures none too well. Fur-tlierni(.)re. we Ijelieve that theadvanced cases,
. Annals of surgery . GAGE AND ADAMS. Altliough nientiuii is made in the literature of nephrectomy with removal of the retroperitoneal gland tissue as a possible means of securing an ultimate cure, it is our opinion that such a procedure can only result in even a higher operati\x nmrtality tlian now exists. In our experience. e\en those cases which present good risks suffer from severe shock, greater even,when we have done nothingmtire than a rapid and nearlybloodless nephrectomy. Veryyoung children withstand majorprocedures none too well. Fur-tlierni(.)re. we Ijelieve that theadvanced cases, that is, thosewith anemia or any degree ofcachexia are better left operation intensive X-raytreatment may be tried, althoughwe have yet to see any benefitsderived therefrom. Metastasis is not common inthe case of embryoma, the liver and lungs being frequently invaded when it does occur. Local recurrence is, however, the rule, and it makes its ajipearance usuallv within six months to two vears. After four years, as noted I
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
