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Vol 12, No 3 (2006)
Other materials agreed with the Editors
Published online: 2006-08-01
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Evolution of opinions on vascular trauma treatment in Polish medical literature at the turn of 19th century

Marek Durakiewicz
Acta Angiologica 2006;12(3):124-139.

open access

Vol 12, No 3 (2006)
Miscellanea
Published online: 2006-08-01

Abstract

Progress in the treatment of vascular trauma was initiated by a trend to change traditional ligation of injured vessels to their reconstruction. Initially lateral sutures were used, then circular sutures and at last reconstruction of injured vessels with venous homograft. These methods competed for decades, having many advocates and opponents. In the year 1900 it was stated that circular ligation may have a dangerous impact on organ nutrition. It was concluded that this treatment was not satisfactory and different methods of preservation of the continuous vascular system should be developed. The aim of this study is to present a survey of Polish-language medical literature concerning vascular operative techniques from the turn of 19th century. We have listed presentations from the meetings of medical associations, original and review papers as well as published Polish translations of foreign scientific papers. In the beginning ligation seemed to be the best treatment of haemorrhage or posttraumatic aneurysm. The existing method of reconstruction with venous homograft was not commonly performed. When the idea of reconstruction with a venous graft was commonly accepted the main topic of discussion remained the size of the venous graft. In Poland Romuald Weglowski introduced this method of reconstruction. It should be strongly emphasized that this problem was widely presented in Polish medical literature from the end of 19th century, which formed the origins of modern Polish vascular surgery.

Abstract

Progress in the treatment of vascular trauma was initiated by a trend to change traditional ligation of injured vessels to their reconstruction. Initially lateral sutures were used, then circular sutures and at last reconstruction of injured vessels with venous homograft. These methods competed for decades, having many advocates and opponents. In the year 1900 it was stated that circular ligation may have a dangerous impact on organ nutrition. It was concluded that this treatment was not satisfactory and different methods of preservation of the continuous vascular system should be developed. The aim of this study is to present a survey of Polish-language medical literature concerning vascular operative techniques from the turn of 19th century. We have listed presentations from the meetings of medical associations, original and review papers as well as published Polish translations of foreign scientific papers. In the beginning ligation seemed to be the best treatment of haemorrhage or posttraumatic aneurysm. The existing method of reconstruction with venous homograft was not commonly performed. When the idea of reconstruction with a venous graft was commonly accepted the main topic of discussion remained the size of the venous graft. In Poland Romuald Weglowski introduced this method of reconstruction. It should be strongly emphasized that this problem was widely presented in Polish medical literature from the end of 19th century, which formed the origins of modern Polish vascular surgery.
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Keywords

history of vascular surgery; vascular trauma

About this article
Title

Evolution of opinions on vascular trauma treatment in Polish medical literature at the turn of 19th century

Journal

Acta Angiologica

Issue

Vol 12, No 3 (2006)

Article type

Other materials agreed with the Editors

Pages

124-139

Published online

2006-08-01

Page views

864

Article views/downloads

2615

Bibliographic record

Acta Angiologica 2006;12(3):124-139.

Keywords

history of vascular surgery
vascular trauma

Authors

Marek Durakiewicz

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