[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
May 1962


Author Affiliations

Principal Thoracic Surgeon Ray Brook State Tuberculosis Hospital Ray Brook, N.Y.

Arch Surg. 1962;84(5):598. doi:10.1001/archsurg.1962.01300230114024

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.  —During the past 20 years, both the availability and use of blood for replacement have increased tremendously. Indeed, the copious supply of blood has to a certain extent transformed the character of surgery to a degree in which meticulous hemostasis is not infrequently considered a time-consuming luxury. Such a philosophy might be tenable if failure to achieve adequate hemostasis did not interfere with proper wound healing, and if it did not, by increasing the need for blood replacement, increase the number of transfusion complications. It is encouraging to detect evidence that the need for meticulous hemostasis is being reemphasized. Boone and Shumacker (J. Thor. Cardiov. Surg. 41:680, 1961) demonstrated that with careful hemostasis, blood replacement is rarely necessary after closed cardiovascular surgery, excluding procedures upon the thoracic and abdominal aorta. They determined blood loss by weighing sponges and measuring the volume in the suction apparatus.We have

First Page Preview View Large
First page PDF preview
First page PDF preview