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A Clinical Application of the Smith Freeman Clamp

ORMAND C. JULIAN, M.D.; WILLIAM METCALF, M.D.

Arch Surg. 1949;59(3):433-436.

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

THE APPLICATION of advancing methods of venous anastomosis to the problem of portal hypertension has demonstrated the value of surgical treatment in diminishing the dangers of hemorrhage secondary to this condition. Blakemore,¹ Whipple² and Linton³ have explored the feasibility and value of a variety of methods and sites of the production of venous shunts between the portal system and the vena cava. Although Linton has reported apparent success in 2 cases, utilizing anastomosis between the superior mesenteric vein and the vena cava in 1 and between the inferior mesenteric vein and the left ovarian vein in the other, the majority of anastomoses have been splenorenal or from the portal vein to the vena cava. The operation most frequently reported has been anastomosis of the splenic vein to the left renal vein, end to side, after splenectomy. Less often an end to side anastomosis between the portal vein . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Vascular Surgical Service, Veterans Administration Hospital, Hines, Ill., and Department of Surgery, University of Illinois College of Medicine.

Footnotes
Published with the permission of the Chief Medical Director, Department of Medicine and Surgery, Veterans Administration, who assumes no responsibility for the opinions expressed and the conclusions drawn by the authors.

Read at the Sixth Annual Meeting of the Central Surgical Association, Cleveland, Feb. 18, 1949.

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