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February 17, 1917


Author Affiliations

Professor of Genito-Urinary Surgery, Post-Graduate Medical School and Hospital; Associate Genito-Urinary Surgeon, Michael Reese Hospital CHICAGO

From the Department of Experimental Surgery of the Morris Institute of Medical Research, Michael Reese Hospital.

JAMA. 1917;LXVIII(7):536-538. doi:10.1001/jama.1917.04270020200011

In the desire to utilize some means less mechanical than the various procedures suggested for the prevention of postoperative hemorrhage in suprapubic prostatectomy, nephrotomy and pyelotomy, this work was undertaken.

The use of fat in surgery dates back to 1893, when Neuber suggested its use in lacerations of the liver. His work was followed by Lexer and Czerny, and later by Klopfer in bone surgery. I have been unable to find any reference made to the use of fat in kidney or prostatic surgery, except that of a preliminary report by Dr. Kolischer,1 which appeared two years ago.

The experiments were carried out on dogs. The kidneys were traumatized by crushing and lacerating and nephrotomized in various ways, also decapsulated, and fat from either the same animal or previously obtained from another dog sutured or tied into or over the wounds. Some of the transplants were infected with colon

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