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April 19, 1902


JAMA. 1902;XXXVIII(16):1003-1005. doi:10.1001/jama.1902.62480160025001e

The variety of mechanical devices and stitches recommended for intestinal anastomosis is so great as to sufficiently prove all to be inadequate. The loss of one of my patients in whom I placed a Murphy button, on account of a plum skin occluding its small aperture like a valve, brought forcibly to my notice the danger in its employment. The loss of two others, however, in which I subjected them to the shock incident to prolonged exposure of the intestines during suturage with mauling and bruising and needle puncturing common in such cases, made me still unwilling to lay aside Murphy's contrivance.

I began a series of experiments seeking to elaborate some device which would possess the advantages of the Murphy or the Frank button but with an aperture of ample dimensions and admitting of a larger and wider intestinal overlap. I determined, also, to do away with stitching of

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