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OPEN VERSUS CLOSED METHOD OF COLON ANASTOMOSIS

C. FREDERICK KITTLE, M.D.; THOMAS G. ORR Jr., M.D.; THOMAS G. ORR, M.D.
AMA Arch Surg. 1951;62(6):812-822. doi:10.1001/archsurg.1951.01250030823009.
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THE OPERATION of choice for resection of the bowel is one that can be done with the greatest ease and which will produce as good or better results than any other technique.

For more than 100 years surgeons have been interested in bowel anastomosis, and during this time many methods have been tried, with more or less success. Parker and Kerr1 stated that prior to 1908 no less than 200 methods of intestinal suture had been described. The first intestinal anastomoses were made by the open method. The morbidity and mortality were so great with this method that surgeons were stimulated to perfect other techniques to avoid the much feared peritonitis resulting from peritoneal contamination at the time of operation and later from leakage at the suture line. During the last 50 years the exteriorizing, obstructive resection, aseptic (closed) and open operations have had their adherents. Some of the

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