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Contributions, Exchanges, Books for Review and all other communications should be addressed to "The Eclectic Review," 242 West 73rd Street, New York City, N. Y. Original Articles of interest to the profession are solicited. All rejected manuscripts will be returned to writers. No anonymous letters or discourteous communications will be printed. The editor is not responsible for the views of contributors. VOL. XVII. NEW YORK, JULY 15, 1914. Surgical Abuses. No. 9. We have so many times called attention in these columns, and in our lectures, to the reckless way serious operations are recommended and how in many cases, a perfectly healthy appendix is removed for some trifling abdominal pain that might have been cured by a dose of castor oil that it is pleasant to find that the leaders in the dominant school are at last awakening to this fact and that its leading surgeons are recommending greater caution in this particular, it is, therefore, with great pleasure that we quote the following from one of our exchanges: "Dr. John B. Deaver protested yesterday at the meeting of the American Medical Association in Atlantic City against the reckless way in which inexperienced men undertake abdominal operations nowadays. He had investigated hundreds of them, he said, and found that a large proportion were absolutely unnecessary. When a surgeon of such vast experience makes a protest like this and is supported by so distinguished a collegue as Dr. Charles Mayo of Rochester we may feel pretty sure that there is good ground for complaint. The fact is that important operations are at present undertaken by too many men of little experience. Most of us can remember when even the removal of an appendix was regarded as a serious enough undertaking. Now it has come to be so light a matter that the least excuse is considered sufficient-chronic dyspepsia, more or less discomfort in the region of the appendix, or some very vague toxic symptoms not readily accounted for, are often held to justify an operation, and the mischief is that when a perfectly healthy appendix is removed we do not hear of it. The tendency to attribute most acute abdominal conditions to the appendix leads to carelessness in diagnosis and careless diagnosis. is one of the principal causes of superfluous surgery. The popularity of kidney operations and all sorts of operations on the stomach and intestines is no less reprehensible, and what Dr. Deaver resents especially is the light-hearted way in which these things are undertaken by men with slight experience." |