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January 1952


Author Affiliations

From the Department of Surgery, University of Colorado School of Medicine. This study was the basis of a thesis presented as partial fulfillment of the requirements for the degree of Master of Science in Surgery.

AMA Arch Surg. 1952;64(1):111-118. doi:10.1001/archsurg.1952.01260010122015

THE FIRST successful operation for a perforated peptic ulcer was credited to Heussner and Roux in 1892 by Brunner,1 who collected the first large series of perforations in 1903, reporting a mortality of 48% in 387 cases. Alfred Neumann,2 in 1909, reported the first series of perforated ulcers treated by the insertion of a catheter into the perforation providing exterior drainage of the bowel. In 1913 his series included 13 patients, with a mortality rate of 48%.3 In the same paper, he reported a mortality of 60% with the method of closure of the perforation by suture. He described the catheter method as being useful in perforations with so much induration and friability as to make closure impossible. Turner4 in 1925 reported on 28 patients treated by the same method. The Neumann catheter method was not generally employed during the next two decades. However, the technic

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