The Memphis appeal. [volume] (Memphis, Tenn.) 1886-1890, 1888-10-17

mind Professor Won Bergmann's admis-
sion Top. cit, p. 23), he would probably
have found it necessary to perform.
PARTIAL ExTIRPATIoN.
ANALYSIS OF TABLE This table shows
that Of thirty-fve operations fifteen proved
fatal-that is, in 42.85 per cent. death, 1t
will be seen, took place as the immediate
result OF the operation. In eight cases
the mortality was immediate. In the re-
naming cases where deaths had occurred,
at the time when the report was pub
lished, the fatal issue took place once in
seven weeks, once in ten weeks, once in
thirteen weeks, once in four months, once
in thirteen months and twice at the end
OF sixteen months. In the remaining cases
no details are given, or the patients were
living. At the time the report was issued
one patient, as seen below has lived two
years.
Recurrence is only reported to have
taken place in nine cases, but there Is no
information in many OF the cases on this
point. 1t is probable, however, that re-
currence does not take place nearly so fre-
quently after this operation as in the case
OF thyrotomy, because partial extrpation
affords much more favorable conditions for
|
tanned by simpler thyrotomy.
CASE IN POINT.
Respecting case No. 35, l heard on July
%, 1883, from a Berlin correspondent that
, the patient operated on by DIR. Hahn in
February was admitted to the hospital on
April with great dyspnea.
, 'Tracheotomy had to be performed.
, The glands on both sides Of the neck
were said to be much swollen. Success
occurred in one case (No. 23) out oil thirty
five cases, or 2.S5 per cent.
: ANOTHER METHOD.
= TABLE 3.-Total extirpation OF thu
c larynx-an operation which when no
c Immediately fatal leaves the patient in
II state Of abject misery.
y This was one OF the operations brough
under the consideration OF the Crow
s. Prince in November, 1887.
ANALYSIS OF TABLE 3.-Death tool
o. place in thirty-six cases in less than min
l. days after the operation, and in fourtee
le more within five weeks.
y Death, it will be seen, therefore occurre
ID rs the immediate result Of the operation /
I'd fifty out OF one hundred and thirty-eigf
cases, or in 30. % per cent.
In the remaining cases where death ha
m occurred at the time the report was pull
H. lished the fatal issue took place once Will
ny in seven weeks, three times in thro
cd months, four times in four months, ono
in nineteen weeks, seven times III hN
q, months, twice in six months, three tim'
lis in seven months, twice in eight month
TO five times in nine months once in H.
tie months. once in twelve months, once
e thirteen and onc.half months, once
fourteen months, once in fifteen month
On twice in eighteen months, once in tv
On years, and in three cases the exact date
ra- death is not given.
on Recurrence is only known TO have o
ch Cured in five cases in contiguous pMI
and in one ease No. 81 II is said 10 ha
'de taken place in the glands.
,a5 OF course the removal OF the entire {
a." gan tends TO prevent recurrence.
oia In one case (No. 1911 the patient "
'"' discharged rs having recovered rom &
nal effects Of the operation, but the progno
sht was so uniavoruble that the operator NOT
'ynd recurrence aud death rs probable.
the Successes occurred in Of lis cases,
ush 90 per cent.
ou' This operation, it will be seen, afford
little prospect of success, and the CON
i,s- tons OF existence are 80 utterly miseral
~ tthe patient being almost completely {
-, oil from intercourse with his fellow bein
i,,'. and having TO take food in such distrc
~. ing Way), that suilocation is constan
Wy imminent, and that death from staryail
,s not unlrcqucntly takes place.