This paper, in a symposium on "Amputations," is published under the auspices of the Section on Orthopedic Surgery.
SURGEON GENERAL, UNITED STATES ARMY; MEDICAL CORPS, ARMY OF THE UNITED STATES
Drainage of infected or potentially infected tissues has always been a fundamentally sound surgical principle. Deviations from this basic principle, although occasionally resulting in a sensationally short period of convalescence, most often prolong recovery, endanger survival or result in death. The occasional success of a procedure which is a violation of sound principle does not justify the procedure in surgery any more than does the prosperity of one undetected criminal justify crime.
The guillotine or open amputation is an operation based on the sound surgical principle of drainage for infection. The efficacy of the guillotineamputation as a life saving measure and a "length preserving" operation was definitely established in the World War of 1914-1918. So lethal were the consequences of primary closure of battle wounds that it was necessary for the Surgeon General of the American Expeditionary Forces to issue an order prohibiting the closure by primary suture of any
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
Instructions
Comments are moderated and will appear on the site at the discretion of the Journal of American Medical Association editors. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest* Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
and access these and other features:
Register Now
Enter your username and email address. We'll send you a reminder to the email address on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.