Palla Ákos szerk.: Az Országos Orvostörténeti Könyvtár közleményei 13. (Budapest, 1959)
Dr. I. CSILLAG and Dr. H. JELLINEK: From primitive Haemostatic Methods to Modern Vascular Surgery
in the literature concerning vascular sutures are presented by Lambert who described that Hallowell had tried in 1759 to suture in man the injuredbrachial artery. Lambert himself performed in 1762 vertical inscisions on the carotid artery of horses and successfully sutured the wound. Aschmann (1773) described that he had experimented with vascular sutures and that he held this procedure to be senseless and dangerous. -Aschmann's view was dominating for about 100 years. Many other authors had tried to perform vascular sutures, the trials, however, failed to be successful and the general view of thrombosis inevitably ensuing prevailed. Otherwise than those authors who experimented in animals, Czerny performed in 1881 vascular suture in man, unsuccessfully, however. At the 11th German Surgeon's Congress in 1882 Schede reported on the first successful suture of a vein, performed in man. The Surgical Congress of Rome, 1886, disapproved the procedure of vascular sutures. Until the end of the 19th century major part of the experiments ended in failure though some moderate results had been achieved. At the International Congress of Surgeon's in Moscow, 1897, Murphy reported on different animal experiments wdiich he had carried out in dogs, calves and with varying success in shepp. Finally it was Carrel who elaborated in 1902 the method of vascular sutures and his rules are since valid in the surgery of vessels. Carrel was awarded in 1912 Nobel prize for his work. The activity of Eck also deserves special attention. Eck's classical report on suturing vessels was published 35 years prior to Carrel, sowing vessels in an age when this operation w r as absolutely unique. Some Generalities on the Transplantation of Vessels If a constriction elue to lack of the vascular wall is previewed when suturing a vessel —which constriction may bear the menace of thrombosis —it is correct to substitute the injured portion with an intact vascular segment. The idea was raised in 6* 83
