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Article |

The Gastrectomy Operation Revisited

Mark M. Ravitch, MD
Arch Surg. 1972;105(3):402-403. doi:10.1001/archsurg.1972.04180090007002.
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The first gastrointestinal stapling instrument was probably that presented by Humér Hültl at the Second Congress of the Hungarian Society for Surgery in Budapest in 1908. This instrument achieved its results satisfactorily, but was extremely complicated and was followed by the presentation, in 1921, this time at the Eighth Hungarian Surgical Congress in Budapest, of A. Von Petz' infinitely simpler instrument, composed generally along the lines of a giant Payr clamp. This instrument, although rather gross and serving only for a temporary closure of the stomach or bowel, which had then to be inverted, was widely adopted and remains in use today. A quantum step forward was achieved by the Scientific Research Institute of Experimental Surgical Apparatus and Instruments of the Soviet Union, whose first instruments (for vascular suture) began appearing in 1950. A wide range of instruments was developed by this institute and in the late 50s reports began


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