JAMA. 1903;XL(16):1052-1054. doi:10.1001/jama.1903.92490160004001b.
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Over a quarter of a century has passed since Marion Sims did the first planned operation for gallstones, and sufficient time has now elapsed to permit a fairly correct judgment as to the present position of gallstone surgery. But before gallstone surgery will show its best results the profession as a whole must recognize that there are no solvents which will dissolve gallstones in the gall bladder and bile ducts, and must, furthermore, recognize their own culpability if operative interference is delayed until the vital powers are exhausted. No field of surgery gives greater relief from agonizing pain, or gives greater capacity to do one's normal work than judicious early operations for gallstone disease. Not for an instant would I be understood as advocating operation in every case of pronounced gallstone colic. But when the attacks recur frequently, show a tendency to increase in severity, and become more and more


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