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Article
December 26, 1931

ADVANTAGES OF CECOSTOMY PRELIMINARY TO RESECTIONS OF COLON AND RECTUM

Author Affiliations

NEW YORK

From the Surgical Department, Columbia University College of Physicians and Surgeons and Presbyterian Hospital.

JAMA. 1931;97(26):1962-1964. doi:10.1001/jama.1931.02730260028008
Abstract

Cecostomy has been advocated especially in acute obstruction of the colon but has not been sufficiently emphasized as a measure preliminary to interval operations on the large intestine. Wound repair differs markedly according to the tissues injured, the single, repeated or continued factor of injury preceding or associated with repair, the factor of rest, but especially the factors of blood supply and of presence or absence of infection. An uncomplicated, sutured, sterile incised wound of the skin presents the simplest form of repair, for the injury is mechanical and single, and the reparative process goes on without the interference of further injury. Repair in a sutured incised wound of the colon is quite the opposite. It is complicated from the start by factors which not only delay but which may prevent wound healing: infection with bacteria of the most virulent forms, tension on suture points and lines due to peristalsis

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