Transactions of the Section on Gynecology of the College of Physicians Philadelphia, Vol. 3 (Classic Reprint)
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|Excerpt from Transactions of the Section on Gynecology of the College of Physicians Philadelphia, Vol. 3
I desire to report a new method of closing the wound in celiotomy, which I believe will give good results in all cases, and will enable the surgeon to deal successfully with cases of diastasis of the recti muscles, which heretofore have been most difficult to cure.
The following are the steps in the closure of the wound:
1. Closing the peritoneum with a running suture of fine catgut.
2. Closing the wound in the rectus muscle with fins catgut.
3. Suturing the aponeurosis so that the aponeurosis upon one side of the wound is brought over, superimposed upon, and sutured to that of the opposite side.
4. Closing the subcutaneous layer of fat with a running catgut suture.
5. Closing the skin with an intracuticular suture of catgut.
It is apparent that the now point in the method is the manner of suturing the aponeurosis.
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