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Roscoe R. Graham: An enduring legacy in the 21st century
Alexandra C Istl1, Daryl K Gray
1From the Western University, London, ON, Canada and Division of General Surgery(A.C.I., D.K.G.), London Health Sciences Centre, London, ON, Canada.
The Journal of Trauma and Acute Care Surgery
|November 3, 2016
Summary
The Graham patch technique, a surgical method for duodenal repair using an omental graft, remains a vital procedure despite modern advancements. Its enduring efficacy highlights its significance in contemporary surgical practice.
Area of Science:
- Surgical innovation and historical medical techniques.
- Gastrointestinal surgery and trauma management.
Background:
- The Graham patch technique, described in 1937, involves an omental graft for duodenal repair.
- This classical method persists despite numerous modern surgical advancements.
Discussion:
- Roscoe Graham, a prominent surgeon, developed the omental patch technique for perforated duodenal ulcers.
- His contributions also include procedures for rectal prolapse and insulinoma resection.
Key Insights:
- The Graham patch technique remains a widely utilized and effective treatment for perforated duodenal ulcers.
- Its application extends beyond ulcer repair to include traumatic solid organ injuries.
- The technique is adaptable to both open and laparoscopic surgical procedures.
Outlook:
- The Graham patch technique continues to be an indispensable tool in modern surgery.
- Further exploration of its historical context and enduring relevance is warranted.

