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June 20, 1885


JAMA. 1885;IV(25):686-687. doi:10.1001/jama.1885.02391000014005

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In the British Medical Journal, of May 2, 1885, is a paper by Mr. C. B. Keetly, " On Buried Sutures, with Remarks on the Importance of Suturing Separately, Periosteum to Periosteum, Muscle to Muscle, Deep Fascia to Deep Fascia, and Skin to Skin, after Deep Incisions of all Kinds." This is but the practical application in general surgery of the principles upon which fractured bones, divided nerves and tendons, wounds of the veins, intestines and other hollow structures are now treated. But, as Mr. Keetly remarks, these forms of buried sutures have a narrow, and, though a very important, a limited aim; the intestines, for example, being thus sutured in order to prevent extravasation of fæces.

The method now under consideration, however, is intended to "influence the whole course and final result of wounds in general. For instance, let us suppose buried sutures of the first kind to have been

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