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March 22, 1913


Author Affiliations

Professor of Gynecology, New York Polyclinic Medical School; Attending Gynecologist to the City Hospital NEW YORK

JAMA. 1913;60(12):894-895. doi:10.1001/jama.1913.04340120020008

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The following method of suturing in cases of perineoplasty may not be original, though I have never seen it described. If, however, it is not new I feel that I need hardly make further apology for re-presenting so valuable a bit of operative technic.

In a thorough trial on all classes of cases I have found the results uniformly so much better than with the older methods that it seems to me a distinct advance.

The choice of a suture material for use in cases of peri[ill]cal repair is of some moment, and second in importance only to the method of introducing the sutures. I have long since discarded absorbable material such as catgut and kangaroo-tendon on account of the uncertainty of absorption, varying tensile strength and low power of resistance to infection. Of the nonabsorbable materials the so-called silkworm-gut, because of its uniform strength and pliability, makes the ideal

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