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and believes may compare essay writting service favorably with the more common mode operation. I confess that I have been led form an exactly opposite conclusion I believe takes longer time, gives much more pain and trouble, and has results which are not good. Altogether I must remark that in spite the many successful results the method cauterization, the ideas the Belgian authors whom Bouque represents are opposed those the German school.

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Bouque says For most practitioners the immediate union the fistula will recommend itself account its simplicity and ease execution, and many other advantages and there no reason why should not first try the value the various cauterizing agents in any given case.

But these attempts should methodical, and should persevered in for a sufficiently long time.

We need not have recourse a bloody operation until have sufficiently proven the uselessness caustics.

The German authorities the other hand believe that the cauterization large fistula? entirely useless that severe cauterizations, especially the actual cautery, often direct damage, enlarging the fistula and transforming its walls for a considerable distance into hard, unyielding cicatricial tissue further, that a successful result from cauterization can only expected under certain well-defined conditions, those conditions being that the fistula small and has broad, granulating edges, as recent fistulas in the puerperal period, or small fistulas left after other operations.

If cauterization not rapidly successful, soon abandoned in Germany, since persevering in only spoil our chances a future operation. Hegar.

That they are not rapid shown the above statistics while hundreds fistulas have been entirely cured in a few days a bloody operation in the hands skilled, and even unskilled surgeons. Indeed Professor Boddaert van Cutsem Ghent has personally assured that as well as the majority the Belgian surgeons, decidedly favor operative union, and only exceptionally employ cauterization. Since cauterization no means always cures these fistula?, the very earliest authors have sought devise measures secure a direct artificial union, lioonhuysen proposed freshening the edges with subsequent continuous suture. Fatio, a Switzer, said have cured the first case suture. It was then forgotten until Naegele again recommended best essay writing service online At once many various stitches were proposed by Naegele, liOux,Wutzer, Schreger, Ehrmann, Blasius,Colombat, Beaumont, Dieffenbach, Esmarch. They did no particular good, partly because the fistulas were imperfectly exposed, and partly because the freshening of the edges consisted either a superficial scarification, or the removal of Nor could better results obtained changing the materials used for suturing. Gilded, silver, steel, straight or curved needles, insect needles, or the use silk, golden, iron or silver threads were no avail.

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Three men have done more than all the others custom essay writing services combined for the operative cure urinary fistula? these are Jobert Lamballe in France, Gustav Simon Darmstadt, and Marion Sims New York.

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