JAMA. 1911;LVI(8):564-566. doi:10.1001/jama.1911.02560080012003.
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THE APPENDIX  Although removal of the appendix is generally a simple matter and is attempted by the general practitioner as well as by the surgeon, it is too often followed by annoying symptoms which are generally due to adhesions. Therefore any technic that is simpler than the average and does away with the possibility of post-operative adhesions, is the one to be adopted.Below is a procedure adopted by George Roeder and myself in the last 100 appendectomies, which is a sufficient number, I think, on which to base an opinion. It is simple, rapid and also safe, requiring on the average ten minutes from the time the incision in the skin is made until it is closed.Its essential features are a single purse-string, fine linen suture which is not cut until the operation is finished (Figs. 1 and 2). The suture, in passing from one side of the


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