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March 1956

Arterial Replacement with Rectus Fascia: An Experimental Study

Author Affiliations

Dr. Kehne's present address is Hagerstown, Md. From the Surgical Research Laboratory Surgical Service, Veterans Administration Medical Teaching Group Hospital.

AMA Arch Surg. 1956;72(3):516-519. doi:10.1001/archsurg.1956.01270210146024

Since arterial homografts are not universally available, it would be advantageous to have a method to repair arterial defects utilizing available autogenous tissue. The reports of Neuhof,2 Peirce,3 and Cousar and Lam1 suggested that posterior rectus fascia was a satisfactory substitute for arterial repair, but limited experiments and short periods of observation suggested that additional studies were necessary prior to clinical application of the method.

METHOD  Seventy-six mongrel dogs, weighing 7 to 25 kg., were used in the experiment. Intravenous pentobarbital sodium was used as the anesthetic agent. The abdomen was surgically prepared and then entered through a lower midline incision. The rectus fascia was exposed and a strip of fascia removed from either the anterior rectus sheath, posterior rectus sheath, or posterior rectus sheath with attached peritoneum for repair of the arterial defect in the "patch graft" series. Posterior rectus sheath and peritoneum were used exclusively in