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October 1935


Author Affiliations

Fellow in Medicine of the National Research Council SAN FRANCISCO
From the Laboratory of Experimental Surgery, Department of Surgery, Stanford University School of Medicine.

Arch Surg. 1935;31(4):579-586. doi:10.1001/archsurg.1935.01180160075006

The great variety of technics that have been described and used for anastomosing bowel may seem to exclude the possibility of adding any further suggestions of merit. The very fact, however, that widely different methods can exist and have firm and prominent adherents implies that either there can be no superior procedure or it has not yet been presented. Eminent surgeons do not even agree as to whether the open or the closed form of operation should be adopted in performing entero-enterostomy in the large bowel. There seems to be a sort of fetishism among the more recently trained men requiring the use of the clean or closed method, while many of the best surgeons of the older school insist that better results follow the use of an open technic which permits accurate approximation of tissues without an undue "turn-in" forming a bulky cuff.

An analysis of these two basic