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Article
April 26, 1902

A METHOD OF SUTURING THE GALL-BLADDER TO THE PARIETES IN GALL-BLADDER OPERATIONS.

Author Affiliations

SURGEON TO THE SAMARITAN HOSPITAL. TROY, N. Y.

JAMA. 1902;XXXVIII(17):1078-1079. doi:10.1001/jama.1902.62480170032001i

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Abstract

In my last twenty cases I have attached the gall-bladder to the parietes in the following manner: A full curved Hagedorn needle is threaded with silkworm gut and passed mattress-stitch fashion from within the gall-bladder through the peritoneum, overlying muscle and fascia; then it is brought out and reintroduced and carried out through the skin a short distance from the wound. The opposite end of the silkworm gut is introduced in the same manner and the ends fastened by two or three shot, the uppermost of which is crushed. At first I used five sutures of this character to suspend the gall-bladder, but now I rarely use more than three. The suspension sutures are removed on the tenth day, or earlier, if indicated. The advantage in this form of suture is that there is no danger of the sutures falling into the gall-bladder to become the nidus of new concretions

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