Thyroid Surgery 101: 1869 Almost half 8/20 of the goiter patients having surgery died.
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DISEASE OF THE THYROID GLAND AN INTERPRETATIVE REVIEW OF PROGRESS TOWARD SOLUTION OF THE PROBLEM
Review of Progress in the Knowledge of Disease of the Thyroid. — Billroth in 1869 had performed partial thyroidectomy for goiter in 20 cases, with 8 deaths (40 per cent), and he stated: “To him who has had little practice in these operations it can easily happen that he removes the entire half of the gland instead of merely the tumor (enucleation) whereby the operation becomes very complicated and most dangerous.” Most of the deaths were due to infection and only 1 to collapse (hemorrhage?).The present review is concerned chiefly with those developments in surgical technic, clinical skill, therapeutic and preventive measures and scientific investigation which have greatly reduced the morbidity and the mortality in all types of disease of the thyroid.* As the most striking recent advance has been in the reduction of mortality in exophthalmic goiter, I shall first trace the developments that have caused