Transactions of the Philadelphia Academy of Surgery Volume 10

Transactions of the Philadelphia Academy of Surgery Volume 10

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...operation should not be attempted. These limitations, however, do not prevent endo-aneurismorrhaphy being more universally applicable than any other operation for the cure of aneurism. It is not, however, the general applicability of the operation which has caused it to take first rank as a radical cure, but especially the fact that it interferes less with the blood supply beyond the aneurism than any other. The experimental work of Carrell, in this country, and of San Martin, Hopfner, Payr, Ullman, Jassinowski, Gliick, and others abroad, together with the clinical and experimental work of Abbe, Murphy, Crile, Brewer, Hubbard and Matas, has shown with what readiness the blood vessels lend themselves to plastic operations. Suture, anastomosis. transplantation, substitution of vein for artery, arteriotomy for embolism, all of which have now been shown to be perfectly practicable, give some idea of the possibilities of vascular surgery. The Matas operation has for its foundation this experimental and clinical work. It having been shown that when intima is approximated to intima union occurs just as when two peritoneal surfaces are placed in contact, Matas conceived the idea of closing the openings of the blood vessels in the aneurismal sac and of obliterating the sac by approximating its walls. He first operated by this method in 1888,1 and reported a case, but his paper attracted little attention. At the time of publication of his second paper, in I903,2 he had done this operation four times. He suggested two other possibilities; first, the repair of the artery in sacciform aneurism. and second, the reconstruction of the artery in fusiform aneurism when the openings of the vessel were on the same line and not too far apart. To show that...
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Product details

  • Paperback | 106 pages
  • 189 x 246 x 6mm | 204g
  • United States
  • English
  • black & white illustrations
  • 123698868X
  • 9781236988683