Abstract
Conclusions
An instrument has been devised for cutting purse-string sutures used with satisfaction and precision in 87 operations. It cuts without tension on the suture material; it is simple; it can be sharpened readily and repeatedly; the needles are light and do not pull on the purse-string sutures.
Twenty-eight consecutive operations with removal of specimens from zero hours to 44 days, have been performed with a minimum of adhesions with no signs of obstructions and with no death that could be attributed to the operation. Eight consecutive operations with specimens recovered from 33 to 107 days have been performed without a death from the operation, and with no adhesions. In this type of anastomosis on the small bowel, the sutures must be taken close to the purse-string sutures and the lumen should be opened at operation. Aseptic end-to-end anastomosis of the bowel can be safely and easily performed by this method.
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