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Article
August 30, 1902

THE OMENTUM AS A SURGICAL FACTOR IN LAPAROTOMY.

JAMA. 1902;XXXIX(9):474-477. doi:10.1001/jama.1902.52480350012001c
Abstract

Modern surgery has done much to demonstrate the physiologic importance of the omentum. It is my present purpose to consider the omentum especially as a surgical factor in laparotomy, since I am very sure that its importance has been greatly underestimated and that the danger arising from its pathologic changes and injuries is a very considerable factor in the life problem. Even when recovery ensues, such changes are often the cause of local suffering and invalidism. Did time permit I would gladly consider the anatomic development and physiologic function of this important structure, upon which less is written and probably less really known than any other so considerable part of the body.

For our present purpose it is important, in its normal development, to emphasize the extraordinary vascularity of this really enormous fatty apron and to remember that its lymph channels are coextensive with its vascular supply. Every surgeon has

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