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November 30, 1907


Author Affiliations


The series of operations under discussion, as indicated in the title of this paper, are the results of many years of observation and study. From time to time I have written on these subjects more or less fully and I incorporate here my conclusions. The results arrived at from the use of the buried animal suture are the fruitage of much original research work, which was published many years ago. The infraperitoneal treatment of the stump of the uterus in hysterectomy is of major importance and has been generally adopted.

JAMA. 1907;XLIX(22):1831-1836. doi:10.1001/jama.1907.25320220019001d

The fear of hemorrhage appears to have been the only reason for the use of the uterine clamp. Sir Spencer Wells, Dr. Thomas, Dr. Storer and others spent much time and thought on the devices with which their names are connected. Clamps were in no wise preferable to ligatures with their ends cut long and left extending through the abdominal wound, although it was contended that the wound could be packed about the clamp so as to render infection less liable, and that by tightening the clamp from day to day hemorrhage could be more safely controlled. Although Dr. H. R. Storer was for a long time an advocate of the clamp and his clamp possessed certain advantages, he introduced the treatment of the cervical stump by suturing it firmly into the deeper layers of the wound—called by him "the pocketng of the pedicle." This procedure rendered it possible to

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