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Article
March 1933

WOUND HEALING IN ANTERIOR GASTRO-ENTEROSTOMY FOLLOWING VARIOUS METHODS OF SUTUREAN EXPERIMENTAL STUDY IN DOGS

Arch Surg. 1933;26(3):345-381. doi:10.1001/archsurg.1933.01170030002001
Abstract

Our primary object in this study was to ascertain whether serosal inclusions or cysts, such as are found not infrequently on the posterior parietal pelvic peritoneum, on the female pelvic viscera and elsewhere, would form on apposed serosal surfaces as in the case of gastro-intestinal anastomoses. As our work progressed, some of our observations were apparently so singular that we also became interested to know how wound healing following gastro-enterostomy progressed after the use of some of the suture methods most commonly practiced in this country and recommended by textbooks of surgery.

The latter generally advise one of three procedures for the closure of the so-called anterior ostial defect in gastro-enterostomy wounds: an ordinary continuous catgut suture1 passed through the entire thickness of stomach and intestinal wall (fig. 2B); a Connell stitch2 (fig. 1A), which is a continuous mattress suture that has its loop on the mucosal

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