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DONALD E. McDOWELL, MD
Morgantown, WVa

YUELI XIAO-HUI, MD
Changzhou, People's Republic of China

Arch Surg. 1985;120(12):1398-1399.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—One of us (D.E.M.) was a member of a surgical team that gave lectures and performed demonstration operations in eight teaching hospitals in the People's Republic of China. On performing the H-graft mesocaval shunt, it was found that the Dacron graft made in China is quite stiff. This stiff graft, when anastomosed in the usual fashion to an ellip> Fig 1.—Usual anastomosis of Dacron graft to superior mesenteric vein for H-graft mesocaval shunt. Note elliptical narrowing of anastomosis. Fig 2.—Improved anastomosis formed by graft bevel-to-wedge incision in superior mesenteric vein for H-graft mesocaval shunt. Note that venous pressure tends to widen, rather than narrow, lumen of anastomosis. 30° Wedge 45° Bevel tical longitudinal incision in the thickened wall of the mesenteric vein for cases of cirrhosis due to schistosomiasis, resulted in a lumen that was narrowed transversely (Fig 1). It was found that this narrowing could be . . . [Full Text PDF of this Article]

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