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Offers historical perspective on vascular repair advances; leaves open questions on integrating nonsuture methods into current guidelines.
IN THE wake of every great war, notable advances appear in certain scientific fields. It was on the field of battle that Paré revived and developed the use of the ligature in the treatment of arterial injuries. During World War I, clinical and experimental vascular research reached new peaks through the work of Halsted and his pupils, Holman and Reid, and through the work of Matas, Makins, Sehrt, Tuffier, Key and many others. Similarly, in the past few years, enormous strides have been made in vascular surgery. VASCULAR REPAIR Blakemore, Lord and Stefko,¹in their search for a nonsuture technic, modified the old Payr magnesium rings used for vascular anastomosis by the preparation of a vein graft with the ends of the vessel everted over vitallium tubes. Such a cylinder, lined by endothelium and with rigid ends, was designed to be inserted into the proximal and distal ends of
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Ralph A. Deterling (1947) studied this question.
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