Publisher's Synopsis
Excerpt from Occlusion of the Lateral Sinus and Internal Jugular Vein
Want of agreement among serious surgical workers in a grave question of surgical treatment arises either from the lumping together of clinical conditions having an essentially different pathological basis, or from the essential pathological conditions being not clearly understood. All true and lasting surgical practice is based upon pathology, and when once the pathology of an affection is clearly appreciated divergence of view as to its treatment ought to disappear.
Where is now the discussion as to the indications for operation ln strangulated hernia, ovarian tumour, or even appendicitis? The operation now before us has for its object the prevention or the arrest of acute septicaemia or acute pyaemia occurring as a further consequence of septic processes which have already begun in the temporal bone. The principle upon which the operation is based - namely, the occlusion of the main venous channel leading from an infected area - is not simply one of local application to the temporal bone. It would be good practice, for example, to obstruct the deep femoral vein in septicaemia having its origin in acute necrosis of the femur.
In this paper I propose to discuss, not details of cases, but fundamental principles, and it therefore appears to me to be of the first importance to survey the position from the widest standpoint of surgical knowledge and practice.
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