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June 28, 1890

THE CONTINUOUS SIDE STITCH METHOD FOR WOUNDS OF THE INTESTINE.Read in the Section of Surgery and Anatomy at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May, 1890.

Author Affiliations


JAMA. 1890;XIV(26):927-929. doi:10.1001/jama.1890.02410260011002b

During the summer of 1889, while house-surgeon of Bellevue Hospital, I had the opportunity of seeing several cases of penetrating gun-shot wounds of the abdomen, complicated by wonnds of the intestine and other viscera. I noticed that the operators always used the interrupted method of closing the wounds of the peritoneum, thus requiring considerable time in placing each stitch, in tying each stitch, and in the subsequent threading required. To that end, you will allow me to state, that I have assisted in a laparo-enterotomy, in which it required the entire attention of an assistant to care for the threading. I have also noticed that nearly, if not all the sutures employed to appose serous surfaces, have the following objections brought against them: 1. That they are interrupted and do not hold the surfaces in close and even apposition. 2. That the tension of each stitch is placed upon the

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