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April 1954

COLOSTOMYAdvantage of Establishing an Immediate Mucotaneous Suture

Author Affiliations

From the Department of Surgery, University of Wisconsin Medical School.

AMA Arch Surg. 1954;68(4):463-468. doi:10.1001/archsurg.1954.01260050465009

THE USE of an immediate mucocutaneous suture to sew the colon to the skin in forming a colostomy allows a permanent opening without delay for the escape of gas and feces. It also obviates the prolonged use of the negative suction, making abdominal distention less common. Early irrigation of the colostomy can be started without danger of retraction of the bowel. This procedure was first brought to our attention in the January, 1952, issue of the Proceedings of the Royal Society of Medicine,1 in an article by Clive Butler, F.R.C.S., on "Some Observations on the Treatment of Carcinoma of the Rectum." In his article Mr. Butler described a type of primary open colostomy which had been suggested to him in 1946 by Mr. Herman Taylor.

In view of the excellent results reported in that article, it was decided to try the procedure, and this is a report of the

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