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cautery SUST. MED.

cautery

electric cautery MED.

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Seventy percent of pregnancies after tubal cautery are ectopic, while 70% of pregnancies after tubal clips are intrauterine.
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But the advent of the cautery has sounded the death knell to this device, due to the explosion hazard.
en.wikipedia.org
As such, he reiterates his preeminence by implying that he is part of an exclusive group of learned surgeons capable of correctly completing this cautery.
en.wikipedia.org

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