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Article
August 9, 1919

WAR WOUNDSPRIMARY AND SECONDARY SUTURE

JAMA. 1919;73(6):383-388. doi:10.1001/jama.1919.02610320007002
Abstract

There are two conditions under which war surgery is performed at the front: first, relatively quiet periods; and second, times when military activities are acute. In quiet times, a thin but fairly continuous stream of wounded are passed back to the forward hospitals; but only occasionally, as after a raid, does congestion occur. The wounded usually can be operated on almost as soon as they are received; there need be no hurry, and the patients can be carefully watched after operation. The aggregate of such cases along a wide sector in quiet periods reaches formidable figures.

The ultimate aim of treatment is to restore the soldier to full activity, with complete restoration of function, in as short a time as possible. Obviously, one of the conditions of such restoration is the repair of the wound. During quiet times, early closure of the wound may be undertaken successfully in a large

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