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July 9, 1932


JAMA. 1932;99(2):151. doi:10.1001/jama.1932.02740540059030

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To the Editor:  —The case report by Dr. Harry S. Fist in The Journal, May 7, page 1635, entitled "Cesarean Uterine Sutures Passed from the Vagina" records an interesting observation but one that bears critical interpretation. Although the patient had a low-grade temperature from 100.6 to 100.8 F. from the second to the seventh day, during which time the lochia were normal, she passed a mass containing the uterine sutures on the eleventh day. This was a necrotic slough. One would like to know how the wound edges were handled before the sutures were placed, whether hemostats or other crushing instruments were used on the uterine incision to control bleeding or to hold the edges in position for suturing.The indictment of the continuous suture made by the author is not warranted by his single case, as many obstetricians have used continuous sutures with success. I have used continuous sutures

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