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October 12, 1918


Author Affiliations


JAMA. 1918;71(15):1194-1196. doi:10.1001/jama.1918.02600410016004

Surgeons are occasionally forced to the necessity of reconstructing the common duct. Surgical literature is full of case reports, and many methods have been advocated by equally as many writers, involving the transplanting of fascia, the transplanting of blood vessels, the transplanting of the peritoneal layer of the duodenum, and so on to the end of the chapter. Some of the operations are good and others are distinctly bad.

Experimentally many plans have been tried on dogs with varying degrees of success. Unfortunately, what will work in the dog laboratory will not always work in the human abdomen, and the simple method I present, although done independently under the force of circumstances seven years ago at our hospital, is not an original plan, for in reviewing the literature I find case reports of almost the identical procedure. I do not wish the foregoing statement to be construed as a criticism

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