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Enterectomy, or the resection of a portion of the intestine, is regarded as such a tedious and prolonged procedure that many operators hesitate to undertake it in cases in which it is the ideal and desirable operation.
Prolonged exposure of the abdominal viscera and much manipulation of the intestines, adds so much to the shock and also to the danger of exciting peritonitis, that the time and manipulation required by the ordinary methods of excision often render impossible the attempt to thus restore the natural channel.
The tedious and time-taking steps in the operative methods commonly used, have consisted:
Firstly, In the great number of interrupted Eembert or Czerny-Eembert sutures used—twenty or thirty being the approximate number.
Secondly, In the difficulty of placing accurately the sutures at an even distance from the serous margin of the excised border. This margin is concealed and overlapped by the everted mucous membrane; the
MUDD HH. A NEW METHOD OF INCISION OF THE INTESTINE.Read in the Section on Surgery, at the Thirty-ninth Annual Meeting of the American Medical Association, May, 1888.. JAMA. 1888;XI(6):192–193. doi:10.1001/jama.1888.02400580012002b