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REPORT OF A CASE

ROBERT R. LINTON, M.D.

Arch Surg. 1943;46(3):395-403.

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

Ligation of a main artery of the lower extremity, such as the common iliac, external iliac or common femoral, may result in gangrene even in the presence of a normal arterial system. A number of methods are available to prevent such a catastrophe from occurring. Therapeutic venous occlusion, produced by ligation of the concomitant vein when it is necessary to ligate a major artery, is one of the methods which has been advocated. This method was propounded by Makins,¹ a British surgeon during World War I. He collected a series of cases to show that this procedure reduced the incidence of gangrene when it was necessary to ligate a major artery to a limb. Numerous attempts in the laboratory have been made to explain this somewhat paradoxic phenomenon. Some investigators² have produced experimental evidence to prove that the actual arterial inflow to an extremity is increased after this . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Surgical Service of the Massachusetts General Hospital.

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