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Before exploring the abdomen, the surgeon must have it definitely in mind as to what is operable and Mayo-Robson gives the following conditions as (a) Cases in which extensive and extremely dense adhesions to the liver, pancreas, gall bladder, etc., (c) Cases in which a medication widespread enlargement of (c) Cases in which secondary deposits in the liver Although Mayo-Robson does not consider mural carcinoma of considerable extent inoperable, it must be to the great majority of surgeons in cachectic subjects.

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