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Use of Venous Grafts When Side to Side Anastomosis Is Impossible

JOHN T. REYNOLDS, M.D.; HARRY W. SOUTHWICK, M.D.

AMA Arch Surg. 1951;62(6):789-800.

	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 ORIGINAL operation of portacaval shunt was first successfully carried out by von Eck in 1877.¹ Since that time, sporadic operations have been performed,² but results were discouraging and the operative death rate prohibitive. Today this operation may safely be recommended for properly selected patients.³ Advances in anesthesiology have contributed much to the safety of this procedure, and adequate administration of blood and fluid, preoperatively, postoperatively and more particularly during the operative procedure, have further secured that safety. Proficiency in the execution of anastomoses between delicate and friable veins is essential, and the surgeon must master these skills in the experimental laboratory before attempting to perform the procedures in human beings.

The two cases presented in this report are illustrative of some of the technical difficulties which may be encountered in attempting to perform a portacaval shunt.

REPORT OF CASES

CASE 1.

—E. B. (St. Lukes, no. . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

Dr. Reynolds is from the Department of Surgery, University of Illinois College of Medicine, and the Fourth Surgical Service, St. Luke's Hospital and Dr. Southwick is a Research Fellow in Surgery, Presbyterian Hospital.

Footnotes
Read at the Fifty-Eighth Annual Meeting of the Western Surgical Association, Minneapolis, Nov. 29, 1950.

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