To the Editor of the Journal of the American Medical Association:

J. H. Carstens
JAMA. 1892;XIX(4):111. doi:10.1001/jama.1892.02420040023003.
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To answer the many inquiries of the gentlemen who were present at the operations at Harper Hospital, during the late meeting of the Association, I wish to state that all cases of laparotomy recovered. In the first difficult case of Dr. Joseph Price, of Philadelphia, where he predicted that a fecal fistula might develop, this actually took place, but by keeping in the glass drainage tube for three days and then substituting the rubber tube and also by keeping the tract perfectly aseptic with hydrogen peroxide and covering the wound with bi-chloride gauze, the fistula gradually closed up, in the course of three weeks, and the patient is now about, walking, riding, etc.

The second case where a hole was made in the intestines, which had to be sewed, made a rapid and uneventful recovery.

The case operated upon by Dr. Ross, of Toronto, with the most firm and extensive


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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