Comparing the work in various clinics, it is found that some men suture wounds rapidly. Most men require a large percentage of the total time for final closure, and nearly all take longer for this step than they themselves realize or would believe unless they have been timed by the watch.
In a series of observations made for me on my own work and that of other surgeons, the time was found to be so unevenly divided that the internal operative work often was briefer than the elaborate wound closure. Thus the neat and rapid interior work was robbed of its chief value to the patient by prolonging the total operation and anesthesia.
Methods for hastening wound closure may be good or bad in proportion to their safety and nicety of adjustment, but they must not involveany sacrifice of the improved modern principles of anatomical restoration of layers whether in
ANDREWS EW. NEW MECHANICAL DEVICES FOR CLOSING WOUNDS. JAMA. 1911;LVII(8):602–606. doi:10.1001/jama.1911.04260080166002
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