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November 11, 1939


JAMA. 1939;113(20):1829. doi:10.1001/jama.1939.02800450051024

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To the Editor:—  Your editorial in the October 7 issue of The Journal "The Rennaissance of Silk in Surgery" is apropos, as silk for suturing has been relegated into desuetude for too long a time. Some fifteen or eighteen years ago, in line with the current fashion, I began to employ clips in the closure of mastoid wounds. The results were not always satisfactory because of secondary infections. I decided that too much tension by the clips on the edges of the wound was responsible for necrosis of the tissue with the resulting difficulties; although these were not productive of actual mal results as to eventual union, the healing was delayed. Then I turned to catgut— plain or chromicized—with practically the same difficulties. For the past six years I have used silk in place of clips or catgut and, making sure that not too great tension on the sutures is

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