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Title: A view of the development of intestinal suture. Part II. Principles and techniques.
Austin Authors: Hardy, Kenneth John
Affiliation: University of Melbourne, Department of Surgery, Austin Hospital, Melbourne, Victoria, Australia
Issue Date: 1-May-1990
Publication information: Australian and New Zealand Journal of Surgery; 60(5): 377-84
Abstract: During the 19th century, the principles of suturing and operating upon the bowel were developed. Lembert published his technique, emphasizing the importance of the serosa in 1826. This brought about sudden transition from the ancient methods of intestinal surgery. Considerable controversy followed. Dieffenbach reported the first clinical success with this suture in 1836. Lister introduced aseptic sutures and the principles of antisepsis to the intestine which allowed the subsequent developments. The importance of the submucosa in anchoring a stitch, so that divided surfaces could stay opposed, was drawn to surgeons' attention by Gross and by Halsted. Mall described the histologic changes and pointed out that necrosis would occur if sutures were too close or too tight. More than 200 modifications were described by the beginning of the 20th century. During the 1950s, everting suture was compared with inverting anastomoses, and the safety of this method was realized.
Gov't Doc #: 2185733
Type: Journal Article
Subjects: Anastomosis, Surgical.history
History, 19th Century
History, 20th Century
Suture Techniques.history.instrumentation
United States
Appears in Collections:Journal articles

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