Abstract

The past few years have shown a great increase in the interest manifested by American surgeons in the surgery of the spleen. Splenectomy has been demonstrated to be a safe and effective means of curing certain diseases (for example, Banti's disease), and is extensively employed in other conditions in which its ultimate benefit still has to be proved by a more prolonged study and report of late results. Among the conditions which seem to be promptly and permanently benefited by splenectomy is the group of so-called hemolytic jaundice cases, which occur in two forms, the congenital and the acquired. The accumulating evidence of the results of splenectomy has proved the etiologic relation of the changes in the spleen to the disease. The former hypothesis of essential hemolysis must be abandoned. What the exact nature of the process may be is still more or less obscure, but that the spleen plays

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