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THE DEFECTS OF THE MURPHY BUTTON, WITH SUGGESTIONS OF IMPROVEMENTS IN THE OPERATION OF GASTROENTEROSTOMY.

ROBERT. F. WEIR, M.D., F.R.C.S. (HON.).
JAMA. 1904;XLIII(12):798-800. doi:10.1001/jama.1904.92500120002j.
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It is not proposed in this article at all to decry the merits of the well-known Murphy button, for it is conceded by everyone that by this admirable mechanical device, abdominal surgery has been largely advanced in the last decade. Since its introduction by its distinguished inventor, however, an enormous experience as to its value as well as to its demerits has been acquired, of which it is well from time to time to take stock.

In the earlier anastomoses between intestine and intestine or intestine and stomach, or between the gall bladder and intestine or stomach, the usually employed incision demanded in its best digested form an opening which experience showed in a gastroenterostomy and in an enteroenterostomy should be at least two and one-half inches long to prevent its subsequent closure, and to complete the operation it was requisite that the edges of the applied gut and stomach,

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