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THE SURGICAL CONCEPTION OF SIGMOID PATHOLOGY.

H. D. NILES, M.D.
JAMA. 1906;XLVII(11):832-838. doi:10.1001/jama.1906.25210110016002c.
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In the evolution of intraperitoneal surgery, our progress has invariably been from a resultant or terminal pathology to the antecedent or original pathology; from the well-advanced and easily discovered lesions to the earlier and more obscure departures from normal. Gradually, step by step, as our knowledge has widened by experience and study, we have learned that large pelvic abscesses have small beginnings in an infected tube or endometrium; that cancer of the gall bladder or stone in the ducts means a previous infection of the parts; that malignant disease of the rectum, stomach or uterus is usually preceded by benign localized inflammatory or necrotic lesions, and we have learned to take into thoughtful account the physiologic and anatomic peculiarities of these different regions in connection with their etiologic bearing on pathologic conditions, and, lastly, as better results followed timely surgery, we have won the confidence and co-operation of our colleagues,

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