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
rosis, Sako the pericardium, Csillag-NovakJellinek the intestine and Fischer used skin tubes to repair the injured vascular wall; the experiments were performed partly in man and partly in animals. Homoplasty. This is perhaps the most widespread method used in these days for the substitution of arteries. The advances of transplanting fresh, that is, living, or fixed (dead) material had been examined here, the problem, however, of storing is an important factor since fresh vessels are not always available. The vessels were tried to be kept in saline-solution, to be fixed in formahn; Bode and Fábián, Siu and Fehn stored them in blood, Cascarelli in an embryonic extract, Gross in carbonic acid snow; Deterling cooled down the vessels to be transplanted to —27°C, Hufnagel to — 74°C, Schwann to — 196°C and stored them thus. In Hungary Bornemissza stores vessels in a frozen and dried state. Heteroplasty. Höpfner was the first to plant the artery of a cat and rabbit into that of a dog, unsuccessfully, however. Carrel transplanted the artery of a dog into a cat to substitute a piece of artery. Most recently Hardin took arterial segments from monkeys, cats, goats, pigs and men and transplanted them into dogs. Moreover, he took a piece of artery from a pig and transplanted it into a 34 year old man to substitute an arterial segment. Alloplasty (the application of foreign materials). In 1897 Nietze used ivory tubes in trying to bring about connection between the two terminals of injured vessels. Carrel used gold and aluminium tubes for this purpose. Abbe substituted with a glass tube the lacking arterial fragment and Payr used magnesium for creating his tube. Tuffier merged a silver tube into paraffine and Blakemore and Lord (1945) lined their vitallium tubes with veins. Hufnagel used methylmethyl acrilate. Voorhees was the first to use a tube made of flexible synthetic material. Blakemore (1954) transplanted vinyil prothèses into 18 patients and Edwars (1955) experimented with nylon tubes. Deterlint holds dacron to be the best substance for supplementing vessels but
