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To the Editor:
—In reading Dr. A. E. Rockey's paper (The Journal, Sept. 11, 1915, p. 939), I was struck by the fact that no mention was made by the author, or any of those who discussed the paper, of an important point brought out first, I think, by Professor Kocher of Berne, Switzerland: so far as possible to make the incision follow the line of skin cleavage. This line is transverse or nearly so in the lower abdomen, and when followed, the wound heals better, with a much narrower scar, and far less danger of postoperative hernia. This method has been followed by Babcock of Philadelphia for several years, with excellent results.
Smith RP. Transverse Incision in Operation for Appendicitis. JAMA. 1915;LXV(14):1203. doi:10.1001/jama.1915.02580140053029
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