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July 25, 1903


Author Affiliations

Professor of Surgery and Clinical Surgery, Fort Wayne College of Medicine. FORT WAYNE, IND.

JAMA. 1903;XLI(4):219-221. doi:10.1001/jama.1903.04480010001001

The methods of closing wounds now in vogue are not the best. This opinion is based on personal experience, observation of the work of others, inquiry and reading, and is the excuse I have for the presentation of this paper. I do not claim either priority or originality in the methods of wound closure advocated in this paper. My object in writing it is chiefly to urge a general adoption of the improved methods, and incidentally to show the desirability of a wider application of them than is made perhaps even by those who already use them.

For aconsiderable time I thought the method of closing wounds by tier sutures of absorbable material with a subcuticular suture for coapting the skin was the acme of perfection. Now, with rather rare exceptions, I never use a stitch in either the skin or subcutaneous tissue, but use adhesive plaster instead. The plaster

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