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January 18, 1913

Gauze Sponges in Abdominal Operations

JAMA. 1913;60(3):226. doi:10.1001/jama.1913.04340030056025

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To the Editor  —At the annual meeting of the American Gynecological Society in Baltimore, in May, 1912, Dr. Francis Wakefield of San Francisco demonstrated a method of employing gauze in laparotomies both for making a wall around the field of operation and for sponging blood and other fluids. He employed three strips of prepared gauze several yards in length fastened in pockets attached to the laparotomy sheet, the largest of the three being used to pack the intestines away from the area of operation. In routine work the gauze is fastened in the pockets of the sheet before the latter is folded and sterilized.After my return from the meeting, I immediately adopted Dr. Wakefield's procedure in my clinic in the Presbyterian Hospital, Chicago, and I am now glad to be able to recommend it most highly as a method of making it practically impossible to lose a piece of

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