Huebner G D, Olderman G M
Surg Gynecol Obstet. 1979 Jun;148(6):887-9.
If the thesis that disposable fabrics are responsible for granulomatous peritonitis is correct, surgeons who operate within the abdominal cavity and use these products would be reporting instances of granulomatous peritonitis in epidemic proportions. Such is not so. Consequently, there can be valid concern expressed as to implied medicolegal problems. While the observations and conclusions were made in obvious good faith, nevertheless, there appears to be sufficient grounds for questioning this apparent cause and effect conclusion and for focusing interest on a more important consideration, the indiscriminate collection, sorting and laundering of the reusable cotton laparotomy pad. Certainly, attention should be directed to the more rigidly controlled use and disposition of these pads by the individual hospital.
如果一次性织物是肉芽肿性腹膜炎病因的这一论点正确，那么在腹腔内进行手术并使用这些产品的外科医生将会报告出现流行比例的肉芽肿性腹膜炎病例。但实际并非如此。因此，对于其中隐含的法医学问题可能会有合理的担忧。虽然这些观察结果和结论显然是出于善意得出的，但似乎有足够的理由质疑这一明显的因果结论，并将关注点放在一个更重要的考量因素上，即可重复使用的棉质剖腹手术垫的随意收集、分类和洗涤。当然，应该引导各医院更严格地控制这些垫子的使用和处理。
