Operative surgery of the gall tracts with original report of twenty successful cholecystenterostomies by means of the anastomosis button / by John B. Murphy.

John Benjamin Murphy

Date:: [1894], ©1894

Credit: Operative surgery of the gall tracts with original report of twenty successful cholecystenterostomies by means of the anastomosis button / by John B. Murphy. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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$fecal fistula. B}' having a string attached, as soon as pressure atrophy h,as released the button, it is at once drawn out of the wound, without being allowed to pass through the intestinal tract. Dr. McFadden Gaston, referring to the button, in Southern Medical Recorder, ]n\y, 1893, writes: This device * * * for uniting different structures has now been tested in a sufficient number of cases to afford a reasonable reliance upon its efficacy. The results were entirely satisfactory in the demonstration of the adaptation of the button for anastomosis, and there can remain but little doubt of a communication with surrounding adhesion being ac- complished by it, with more expedition than by processes heretofore adopted. Dr. Hugh Ferguson, Winnepeg, used the button for a case of pylorectomy with end approximation of duodenum to side of stomach, also in a case of cholecystenterostomy, both successful. In a personal letter he writes as follows: I am more than pleased with the anastomosis button. It is really more than an anastomo- sis button and should be designated 'Murphy's Intestinal Button.' If a discussion on the button arises at the Pan-American Meeting you may quote these two cases. The button cannot be too soon known. Dr. W. B. Rogers, Memphis, Tenn., July 30, 1893, writes : I would say that immediately on my return here I had an opportunity for using your button for the operation of cholecystenterostomy and it worked like a charm. Dr. R. F. Weir, of New York, writes: I have used the 'button' for cholecystenterostomy and like its ease of application, though the fatal ending prevented the fullest test being made. The result however was not due to the method but to the case itself, which was neoplasm compressing common duct and engaging both liver and pancreas. Dr. J. Henry Barbot, {Pacific Medical Journal, April, 1893), who used the button in performing a gastroenterostomy, com- ments as follows: An anastomosis ma}^ be done by this method with perfect safety and with a result that cannot be obtained by any other method. The day of bone plates, catgut rings and nu- merous other devices, that have been used in performing the anas- tomosis operations, is past and every surgeon should provide him- self with a set of the buttons which does not require an extensive amount of operative skill to use. In a recent communication Dr. Willy Meyer, of New York, favored me with a report of two successful operations with the$