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Arch Surg. 1950;60(4):787-792. doi:10.1001/archsurg.1950.01250010808015.
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MANY treatises have been written on involved and intricate methods for closing persistent draining fistulas, intestinal or otherwise. Most of them encompass a rather involved technic, stressing, for the most part, the utilization of nonabsorable suture material such as stainless steel or tantalum wire. Other technics utilize neighboring tissues such as muscle flaps and fascial flaps. Some procedures which have been described follow the pathway of recommending mechanical devices such as various kinds of buttons. A technic which has merit at times is the introduction of a small tube superficially into the fistula. This tube is attached to a constant suction apparatus, preferably a motor suction, and completely diverts the contents of the fistula from the surrounding skin. This in the main accomplishes the fact that the irritating fluid, whatever it may be, is kept away from the surrounding skin. Although at times the fistula may close with this treatment,


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