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July 17, 1915


JAMA. 1915;LXV(3):245. doi:10.1001/jama.1915.25810030002017d

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Figure of eight silkworm-gut sutures, used to reinforce the fascial catgut stitch, may be tied over a wire frame longer than the skin incision and as wide as the distance between the skin holes of any stitch. This wire frame allows inspection of the line of skin sutures and the treatment of any irregularity in its healing, prevents the cutting of the skin by the silkworm-gut, obviates any pressure on the skin incision, if it be held with skin clamps, and gives an even pull on the fascia without pressure on the skin other than the slight and well-distributed pressure of the frame.

The frame is made of No. 35 brass wire, nickeled, is 2½ inches wide and varies in length to suit the skin incision. Those used by Dr. Earl P. Lothrop, with whom I work, vary from 3¼ to 7½ inches in length. The accompanying diagram illustrates the

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