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November 1974

Vascular Surgery: Maturity or Fragmentation?

Author Affiliations

319 Longwood Ave Boston, MA 02115

Arch Surg. 1974;109(5):603. doi:10.1001/archsurg.1974.01360050001001

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Arteriosclerosis and venous thrombosis promise to be with us for a long time to come. Arterial repair, now reaching the end of the first quarter century of its modern era, continues to find new applications. The coronary, distal lower extremity, and intracranial arteries are recent conquests. Our present inability to name the next area for invasion does not mean that the technique has no place else to go. History bristles with examples of the fallacy of this sort of conceit, the most notorious being Billroth's statement 100 years ago that surgery had reached the limit of its development.

Other projects, furthermore, are good for many years more: (1) the search for the ideal arterial prosthesis; (2) depending to some extent on the foregoing, the cautious exploration of prophylactic operations on asymptomatic lesions already begun in the carotid area; (3) prevention and containment of thrombosis, both arterial and venous, and of

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