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February 11, 1956

New Concepts in Surgery of the Vascular System

JAMA. 1956;160(6):517. doi:10.1001/jama.1956.02960410093029

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In this monograph the recent developments in the treatment of arterial injuries are reviewed and some experimental observations by the author are described. The first part is devoted to the immediate and late treatment of arterial injuries. Formerly, the dangers of thrombosis, sepsis, and secondary hemorrhage accompanying immediate repair were emphasized, but it is now recognized that continuity of the injured artery must be restored if gangrene is to be avoided. The remarkable results achieved in the treatment of arterial wounds in the Korean war are compared with those obtained in World War II, and the author lists some important factors contributing to this improvement. Some of these are: (1) the ready availability of antibiotics; (2) the development of special instruments and devices to control bleeding without injury to the wall of the blood vessel, and the availability of fine sutures and needles; (3) the availability of blood and plasma

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