The American Journal Of The Medical Sciences Vol 19 PDF Download

Excerpt from The American Journal of the Medical Sciences, 1920, Vol. 159 The mortality rate following prostatectomy is in direct ratio to three vitally important factors: (1) The recognition of absolute contra-indications to operation; (2) the recognition of relative contra-indications to operation, and (3) the knowledge of methods of treatment preliminary to operation that will remove such relative operative contra-indications and thus bring the individual within the operable class. Characteristic illustrations of these factors are most frequently found in subnormal function of the kidneys. In one instance an impending uremia may be due solely to an antecedent nephritis of the chronic interstitial type, in which event, the cause being irremovable, there is an absolute contra-indication to operation. In another instance a minor degree of interstitial nephritis may exist, but the dangerously low renal function present is dependent upon back pressure incident to lower urinary obstruction. Under these circumstances there is a relative contra-indication to operation, because after decompression of the kidneys the renal function im proves, so that eventually the obstructing prostate can be removed successfully. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.