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September 29, 1906


Author Affiliations


JAMA. 1906;XLVII(13):1017-1019. doi:10.1001/jama.1906.25210130041003

It is now four years since Matas, of New Orleans, gave to the profession the result of his reasoning and experience in the treatment of aneurisms. Proceeding on well-known grounds that serous surfaces, when brought together and held together will form adhesions, and that these adhesions in time become firm and unvielding, the intima of all vascular structures being made up of endothelium or rather lined with it, it was thought and subsequently proved by him that this membrane would behave in the same way as does the peritoneum, the adhesive properties of which enable the surgeon to perform many operations on the abdominal viscera which would otherwise be impossible. The chief question to be settled before the principle could be generally adopted was: Are the adhesions so formed strong enough to resist the blood pressure behind them? This point can only be settled by the combined experience of surgeons,