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Since 1956, the senior author has been engaged in the development and clinical application of a vascular stapler. In this profusely illustrated atlas, the authors give a detailed account of results obtained in more than 1,000 cases. The facility with which they were able to anastomose vessels down to 1.5 mm has obviously stimulated them to apply this instrument not only in the treatment of obliterative vascular disease but for reimplantation of limbs, for reconstruction of the esophagus with jejunal implant, various types of splenorenal shunt and in renal transplantation.
The stapler, like a magic wand, led them to use it in glycogen storage disease—to divert adrenovenous blood into the liver so as to detoxify estrogen in carcinoma of the breast—and to anastomose the thoracic duct to the jugular vein for intractable hepatic ascites. For an inquisitive vascular surgeon or physiologist, these are intriguing projects yet to be explored. Detailed
Takats GD. Atlas of Applied Vascular Surgery. JAMA. 1976;235(15):1620. doi:10.1001/jama.1976.03260410070039
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