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Amos R. Koontz, M.D.
JAMA. 1952;148(6):460-461. doi:10.1001/jama.1952.62930060001012.
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Early in 1948 I operated on a woman with a large defect in the left upper abdominal quadrant resulting from a gunshot wound.1 After many intestinal adhesions were released from the hernial sac, scarcely enough peritoneum remained for closure. The muscular and fascial defect was closed with tantalum mesh. This case made me wonder what would happen if I did have a case in which the peritoneum could not be closed and I wanted to use tantalum mesh. Therefore we2 created large defects in the abdominal wall of dogs by removing the rectus muscle, fascia, and peritoneum. These defects were repaired with tantalum mesh. The greater omentum and spleen had also been removed, so that there would be no buffer between the intestines and the mesh. Perfect healing took place in these animals, and there were only mild adhesions between the loops of intestine and the mesh; the


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