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Article
June 17, 1911

THE GASTRIC WEAK LINE IN WOUNDS OF THE ABDOMINAL WALL

Author Affiliations

Professor of Surgery in the New York Post-Graduate Medical School NEW YORK

JAMA. 1911;LVI(24):1798-1799. doi:10.1001/jama.1911.02560240028014
Abstract

After operations on the stomach the wound of the abdominal wall sometimes opens unexpectedly a few days after operation. There is no evidence of sepsis, and primary union appears to have taken place in advance of the accident.

If the patient survives, tardy repair follows, with little tendency to free granulation and suppuration. The discharge from the wound surface at first is sero-sanguinolent. Such cases have occurred in my own practice from time to time, and conversation with surgeons indicates that all of us are more or less familiar with the subject, but no one seems to have an explanation for the frequent occurrence of this complication after stomach operations, which is out of proportion to somewhat similar failures of union noted after operations elsewhere in the body, and in some cases explainable, no doubt, along the lines to be noted presently.

Recently I had one such case at the

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