Transactions of the American Roentgen Ray Society Annual Meeting
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1905 edition. Excerpt: ...decided overdose, sufficient to markedly impair the vitality of the tissues forming the flaps has been administered. Such an amount of radiation is neither desirable nor necessary, since the effect upon the carcinomatous tissue and the lymphatic system should be manifested long before the vitality of the healthy tissue is impaired. A course of radiation not to exceed IO treatments of 20 minutes each, at a tube distance of I8 inches, is sufficient in the majority of cases to accomplish the desired prophylactic result. A tube of fairly low vacuum should be employed carrying a current not to exceed 2% milliamperes. This should not be followed by any considerable degree of dermatitis, and in my experience, the healing of the wound is all that could be desired. Following the operation on about the I 5th d-ay, a series of post operative radiations should be begun. The reason for this is evident, since an operator no matter how skilled and experienced he may be, can never be certain, that in his operation he has succeeded in removing every vestige of carcinomatous tissue, every infected lymphatic gland and trunk. Unless this has been successfully and completely accomplished, recurrence must be expected. Since this happy result is very seldom obtained, and since we have in the X-ray an agent capable of determining exactly between healthy and carcinomatous tissue, and also capable of de stroying such affected tissue, while yet sparing the surrounding healthy tissue, what good reason is there to advance against the routine employment of this agent as a prophylactic against recurrence in conjunction with operation for carcinoma wherever and however situated? The ideal of surgery is asepsis, yet many good surgeons prefer the use of a little...
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- 13 Sep 2013
- Illustrations, black and white