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October 22, 1904


JAMA. 1904;XLIII(17):1230. doi:10.1001/jama.1904.92500170001k

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The object of this paper is only to record the technic of the operation. The result of experimental work now in progress will be published later.

Step 1.  —Fix by guy suture opposing surfaces of intestines, or stomach and intestine, as the case may be, and sew (Fig. 1) with running through-and-through suture.

Step 2.  —Insert a silk or twine ligature or silver wire (Fig. 2), running into lumen of bowels, as in the McGraw ligature.

Step 3.  —Cover the silk ligature by folding adjacent parts of intestines over it and sew with through-and-through suture, leaving the free ends of the silk ligature on the outside (Fig. 3).

Step 4.  —An assistant holds the united tissues firmly on the opposite side of the free ends of the ligature. By alternate pulling of the right and left ends of the silk ligature, the

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