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Article
January 30, 1915

REPAIR OF DEFECTS IN BLOOD VESSELS BY FREE GRAFTS OF FATTY TISSUE

Author Affiliations

SAN FRANCISCO

From the Division of Surgery, Medical Department, Stanford University.

JAMA. 1915;LXIV(5):426. doi:10.1001/jama.1915.02570310046014
Abstract

Feb. 7, 1914, while removing the glands during an operation for cancer of the penis, part of the femoral vein to which they were firmly attached had to be cut away. The patient was 78 years of age, the veins thick and sclerotic; proper material for venous suture was not at hand. Hemorrhage was temporarily stopped by pressure. A bit of fatty tissue removed from the wound in the groin was tacked over the opening in the vein by a fine silk stitch which did not pierce the vein itself, but passed through the adjacent tissue and was crossed over the graft. On releasing the pressure there was no further bleeding. The patient died twelve days afterward in a senile delirium. Necropsy showed the lumen of the vein to be free of clot and its walls smooth. The graft was firmly adherent and not necrotic in spite of the fact

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