I AM very sensible of the honour you have done me in asking me to open a discuission on diverticulitis, a subject in which the Sub-section of Proctology has naturslly a very special interest, but of which a full practical knowledge should be possessed by every abdominal, gyna3cological and genito-urinary surgeon, as well as by physicians and morbid anatomists. In the short space of time which introductory remarks should occupy I will concern myself with the broad lines of the subject and mainly in its clinical aspects.In 1917, when last reviewing the subject, I wrote'2 Diverticulitis is a condition which has now passed out of the realm of doubt and uncertainty into that of proved and accepted fact. It has an important place in medical literature, and in the experience of every operating surgeon of large practice. This last statement is not as yet true of all, clinicians, some of whom are still apparently unaware of the condition, and not a few of its frequency and clinical importance. Not until a morbid condition is described in all the ordinary student's text-books 3 of medicine and surgery can it be said to have attained complete recognition, and this is not yet the case with diverticulitis." This is practically the situation to-day.1 At a meeting of the Section, held January 7, 1920.
Everyone will agree that any contribution to the understanding and treatment of pain is of fundamental importance in practice. My remarks are directed solely to one cause of pain, that arising from some pathological condition of, or injury to, white fibrous tissue. There is need for much clearer clinical appreciation of white fibrous tissue pain. Such a conception should be taught * An extract from a report, " The Prevention of Tuberculosis in Childhood, with Special Reference to Methods of Separation." Work done during the tenure of a Dorothy Iemple Cross Research Fellowship in Tuberculosis, 1933-5, awarded by the .Medical Research Council.
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