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March 12, 1910


JAMA. 1910;LIV(11):868-869. doi:10.1001/jama.1910.92550370001001h

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At the Civil Hospital, Manila, P. I., in May and June, 1907, I operated in three cases of chronic amebic dysentery, using an original method which is, for operative cases, considered an improvement on the modes of operating usually adopted.

The patients had been under treatment by high enemas of quinin solution and other methods, for considerable periods of time, without improvement. The operation was done by the following method:

MODE OF OPERATION  An incision three inches in length is made, directed downward, parallel with the fibers of the rectos muscle and about three-fourths of an inch internal to its outer border, beginning at a point half an inch below the level of the umbilicus. The superficial structures over the rectus muscle are divided in the same line, thoroughly exposing the rectus and retracting it toward the median line, after which incision is made into the abdomen through the

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