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An Experimental and Clinical Study

HENRY L. HOFFMAN, M.D.; SAMUEL O. FREEDLANDER, M.D.

AMA Arch Surg. 1960;80(3):452-459.

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

In 1955, two Finnish surgeons, Nylander and Turunen,¹ reported that in three cases of cirrhosis of the liver with bleeding esophageal varices, they transposed the spleen above the diaphragm in order to create adhesions for a partial shunt to the systemic circulation.

In 1959, Turunen and Laitinen² reported long-term results on these three patients. One patient (seven years after the operation which included ligation of esophageal varices) has had no further hemorrhage after the first year, has been fully active, and has a normal blood picture. The second case (operated on in 1953) has done fairly well, with no recurrence of hemorrhage. The third case (operated on in 1957) has had no recurrence of hemorrhage and is in good general condition.

In 1957, Turunen, Laitinen, Pasila, and Stjernvall,³ in dogs, experimentally transposed the spleen into the thoracic cavity. This was done in nine dogs with a survival . . . [Full Text PDF of this Article]

Author Affiliations
Cleveland

From the Department of Surgery and the Katz Sanders Laboratory for Experimental Surgery, Mount Sinai Hospital of Cleveland.

Footnotes
Submitted for publication July 28, 1959.

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