Excerpt from The Buffalo Medical and Surgical Journal, Vol. 20: September, 1880
The objection to Stilling's plan, however, is the very im portant one, that it is often entirely useless. Iam inclined to think the simple division of the stricture and subsequent pressure, is followed by a return of the difficulty in at least 75 per cent. Of the cases. With a view to facilitate the introduction of the knife, several modifications of its form have been proposed, and with the hope of increasing the proportion of fortunate results, various changes have been made by different surgeons in the details of the method.
Nearly every one adopts for himself some particular method and is inclined to hold tenaciously to it. It has occurred to me, however, during the past two years to treat at least eight cases in which the symptoms were so aggravated as to warrant the most radical measures in the event of the stricture not yielding to treatment, and the almost uniformly good results seemed to warrant attention being called to one or two details.
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