June 1942


Arch Surg. 1942;44(6):1103-1105. doi:10.1001/archsurg.1942.01210240142010

The relative merits of the one stage and the two stage operation for the cure of esophageal diverticula have been discussed at length by many advocates of both methods. It is mutually agreed that the only deterrent of the one stage operation is the hazard of soiling the fascial spaces with the dire consequences of unlimited infection. The two stage operation permits of walling off these spaces before soiling can occur, and it is the majority surgical opinion that this factor of safety outweighs the disadvantages of the more prolonged and cumbersome procedure.

In 1939, Maxeiner1 reported an operation performed in one stage which he stated "possesses all of the merits of the two stage operation, most important of which is elimination of wound contamination and infection but which may be accomplished by a single operation."

In principle, the operation is an aseptic resection accomplished by division of the

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