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June 25, 1904


JAMA. 1904;XLII(26):1673-1674. doi:10.1001/jama.1904.92490710005002a

In 1902 Dr. Rudolph Matas presented to the American Surgical Association his classical paper on the radical cure of aneurism. Matas' method of operating combines the advantages of ligation and excision, while at the same time it is easier, safer and may be more conservative. The operation is suitable both, to the fusiform and sacculated forms of the disease. After applying a constrictor above the site of disease, if in a limb, or temporarily ligating the proximal and distal trunks, if the carotid is the vessel at fault, one cuts into the sac, thoroughly removes the contained clots, rubs the serosa with gauze and proceeds to insert sutures. The sutures, preferably catgut, are first applied to the openings of all vessels entering or leaving the sac, then the deeper portions of the sac are closed by two rows of continuous Lembert sutures. The elastic constrictor is now removed, and if

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