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June 1, 1907


Author Affiliations

Surgeon-in-Chief, Sheltering Arms Hospital. HANSFORD, W. VA.

JAMA. 1907;XLVIII(22):1865. doi:10.1001/jama.1907.25220480043004b

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After the completion of the incision one or two fingers are inserted and the appendix, with the cecum, is drawn out. The cecum is held by the assistant, the appendix is clamped in the jaws of a pair of hemostatic forceps applied just above the line of junction with the cecum. A second pair of forceps is applied just above the first and gradually worked upward, forcing all contents before it until it is about one-quarter of an inch above the first (Fig. 1). The blood vessels of the meso-appendix are tied off with catgut and the appendix severed as near to the edge of the first forceps as possible (Fig. 2), and the scissors, second pair of forceps and appendix are laid on a specimen tray. The stump of the appendix is lightly touched with a weak solution of iodin on a cotton-tipped applicator or a thermo-cautery is used

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