Arch Surg. 1920;1(3):585-602. doi:10.1001/archsurg.1920.01110030180010.
Text Size: A A A
Published online

One of the important problems confronting the conscientious surgeon is that of gaining access to deep seated pathologic conditions in such a manner that the patient may suffer the least possible postoperative anatomic damage. It is true that our first duty is to save or prolong life, and to cure disease. But if in our efforts to accomplish these laudable things we leave the patient with a new pathologic condition of an equal or even more disabling character than the disease itself, then the surgical treatment was ill-advised or ill-managed, and the cause of surgery will suffer because of the fact that the patient continues to suffer.

A number of lesions amenable to surgical treatment are amenable only through the infliction of serious and permanent anatomic damage. This is often the case in the surgery of cancer and in various infections which threaten the patient's life or limb. In such


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.