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To the Editor:
—I was very much interested in the article of Dr. Robert Emmett Farr on "Abdominal Surgery under Local Anesthesia" (The Journal, Aug. 9, 1919, p. 391). I have no criticisms to make of the surgical aspects of the article, but beg leave to criticize the mechanical end. Why is it necessary to have the complicated mechanical devices portrayed in the photographs when the same results can be obtained by the simple hydraulic pump here portrayed? The only really necessary equipment is an arsphenamin apparatus, a cork plunger, and some sort of weight above this, either a one or two pound metal weight, or a small bottle, say an ounce bottle filled with mercury o[ill] with lead shot. What could be simpler, or what could be more beautifully efficient?
Herz LF. "ABDOMINAL SURGERY UNDER LOCAL ANESTHESIA". JAMA. 1919;73(10):781. doi:10.1001/jama.1919.02610360051025
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