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Caval Ligation in Thromboembolic Disease

Caval Ligation in Thromboembolic Disease Abstract Over a century ago, Virchow suggested that pulmonary embolism was related to thrombophlebitis of the lower extremities, but it remained for Homans6 in 1934 to conceive of ligation of the inferior vena cava as a physiologically sound procedure to prevent thromboembolic episodes in patients with venous thrombosis in the lower half of the body. Trendelenburg15 had already accomplished a successful ligation of this vessel, in 1910, for pelvic thrombophlebitis complicated by puerperal pyemia, and earlier surgeons performed ligations (with fatal outcome) necessitated by inadvertent injury to the vena cava during operative procedures. In 1937, Krotoski8 collected 48 instances of ligation from the world literature, and by 1958, when Dale3 presented 16 cases and once more reviewed the subject, the total number of published reports had increased tenfold to 468. In 1951, Collins and his associates2 recorded the largest individual series, 70 patients with ligation of References 1. The most effective stocking we have encountered is manufactured by the Tru-Form Division of the Surgical Appliance Industries, Cincinnati 37, Ohio, and is sold under the brand name "Formfit" or simply as No. 8345. When manufactured by Ohio Truss Co., another division of the same firm, the same stocking is called "Nu-Vein." 2. Bowers, R. F., and Leb, S. M.: Late Results of Inferior Vena Cava Ligation , Surgery 37:622-628, 1955. 3. Collins, C. G.; Norton, R. O.; Nelson, E. W.; Weinstein, B. B.; Collins, J. H.; and Webster, H. D., Jr.: Suppurative Thrombophlebitis: IV. Results; A Study of 70 Patients Treated by Ligation of the Inferior Vena Cava and Ovarian Vessels , Surgery 31:528-537, 1952. 4. Dale, W.: Ligation of the Inferior Vena Cava for Thromboembolism , Surgery 43:24-44, 1958. 5. Dale, W. A.; Pualwan, F.; and Bauer, F. M.: Ligation of the Inferior Vena Cava With Absorbable Gut , Surg Gynec Obstet 102:517-530, 1956. 6. Fogarty, T. J.; Cranley, J. J.; Krause, R. J.; Strasser, E. S.; and Hafner, C. D.: Surgical Management of Phlegmasia Cerulea Dolens , Arch Surg 86:256-263, 1963.Crossref 7. Homans, J.: Thrombosis of the Deep Veins of the Lower Leg Causing Pulmonary Embolism , New Eng J Med 211:993-997, 1934.Crossref 8. Kirtley, J. A.; Riddell, D. R.; and Hamilton, E. C.: Indications and Late Results of Ligation of Inferior Vena Cava , Ann Surg 141:653-661, 1955.Crossref 9. Krotoski, J.: Zur Venenunterbindung beziehungsweise Extirpation bei der puerperalen Allgemeininfektion von chirurgischem Standpunkt , Chirurg 9:425-439, 1937. 10. Madden, J. L.: Ligation of the Inferior Vena Cava , Ann Surg 140:200-205, 1954.Crossref 11. Miller, D. R.: "Inferior Vena Caval Ligation for Thromboembolism," in Current Surgical Management , Philadelphia: W. B. Saunders Company, 1960, vol 2, pp 255-261. 12. Moretz, W. H.; Naisbitt, P. F.; and Stevenson, G. P.: Experimental Studies on Temporary Occlusion of the Inferior Vena Cava , Surgery 36: 384-397, 1954. 13. Schauble, J. F.; Stickel, D. I.; and Anlyan, W. G.: Vena Caval Ligation for Thromboembolic Disease , Arch Surg 84:17-22, 1962.Crossref 14. Shea, P. C., and Robertson, R. L.: Late Sequelae of Inferior Vena Cava Ligation , Surg Gynec Obstet 93:153-158, 1951. 15. Spencer, F. C.; Quattelbaum, J. K.; Quattelbaum, J. K., Jr.; Sharp, E. H.; and Jude, J. R.: Plication of the Inferior Vena Cava for Pulmonary Embolism: A Report of 20 Cases , Ann Surg 155: 827-835, 1962.Crossref 16. Trendelenburg, F.: Über die chirurgische Behandling der puerperalen Pyaemie , Munchen Med Wschr , 1912 17. Miller, C. J.: Ligation or Excision of the Pelvic Veins in the Treatment of Puerperal Pyemia , Surg Gynec Obstet 25:431-452, 1917. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310130186023
Publisher site
See Article on Publisher Site

Abstract

Abstract Over a century ago, Virchow suggested that pulmonary embolism was related to thrombophlebitis of the lower extremities, but it remained for Homans6 in 1934 to conceive of ligation of the inferior vena cava as a physiologically sound procedure to prevent thromboembolic episodes in patients with venous thrombosis in the lower half of the body. Trendelenburg15 had already accomplished a successful ligation of this vessel, in 1910, for pelvic thrombophlebitis complicated by puerperal pyemia, and earlier surgeons performed ligations (with fatal outcome) necessitated by inadvertent injury to the vena cava during operative procedures. In 1937, Krotoski8 collected 48 instances of ligation from the world literature, and by 1958, when Dale3 presented 16 cases and once more reviewed the subject, the total number of published reports had increased tenfold to 468. In 1951, Collins and his associates2 recorded the largest individual series, 70 patients with ligation of References 1. The most effective stocking we have encountered is manufactured by the Tru-Form Division of the Surgical Appliance Industries, Cincinnati 37, Ohio, and is sold under the brand name "Formfit" or simply as No. 8345. When manufactured by Ohio Truss Co., another division of the same firm, the same stocking is called "Nu-Vein." 2. Bowers, R. F., and Leb, S. M.: Late Results of Inferior Vena Cava Ligation , Surgery 37:622-628, 1955. 3. Collins, C. G.; Norton, R. O.; Nelson, E. W.; Weinstein, B. B.; Collins, J. H.; and Webster, H. D., Jr.: Suppurative Thrombophlebitis: IV. Results; A Study of 70 Patients Treated by Ligation of the Inferior Vena Cava and Ovarian Vessels , Surgery 31:528-537, 1952. 4. Dale, W.: Ligation of the Inferior Vena Cava for Thromboembolism , Surgery 43:24-44, 1958. 5. Dale, W. A.; Pualwan, F.; and Bauer, F. M.: Ligation of the Inferior Vena Cava With Absorbable Gut , Surg Gynec Obstet 102:517-530, 1956. 6. Fogarty, T. J.; Cranley, J. J.; Krause, R. J.; Strasser, E. S.; and Hafner, C. D.: Surgical Management of Phlegmasia Cerulea Dolens , Arch Surg 86:256-263, 1963.Crossref 7. Homans, J.: Thrombosis of the Deep Veins of the Lower Leg Causing Pulmonary Embolism , New Eng J Med 211:993-997, 1934.Crossref 8. Kirtley, J. A.; Riddell, D. R.; and Hamilton, E. C.: Indications and Late Results of Ligation of Inferior Vena Cava , Ann Surg 141:653-661, 1955.Crossref 9. Krotoski, J.: Zur Venenunterbindung beziehungsweise Extirpation bei der puerperalen Allgemeininfektion von chirurgischem Standpunkt , Chirurg 9:425-439, 1937. 10. Madden, J. L.: Ligation of the Inferior Vena Cava , Ann Surg 140:200-205, 1954.Crossref 11. Miller, D. R.: "Inferior Vena Caval Ligation for Thromboembolism," in Current Surgical Management , Philadelphia: W. B. Saunders Company, 1960, vol 2, pp 255-261. 12. Moretz, W. H.; Naisbitt, P. F.; and Stevenson, G. P.: Experimental Studies on Temporary Occlusion of the Inferior Vena Cava , Surgery 36: 384-397, 1954. 13. Schauble, J. F.; Stickel, D. I.; and Anlyan, W. G.: Vena Caval Ligation for Thromboembolic Disease , Arch Surg 84:17-22, 1962.Crossref 14. Shea, P. C., and Robertson, R. L.: Late Sequelae of Inferior Vena Cava Ligation , Surg Gynec Obstet 93:153-158, 1951. 15. Spencer, F. C.; Quattelbaum, J. K.; Quattelbaum, J. K., Jr.; Sharp, E. H.; and Jude, J. R.: Plication of the Inferior Vena Cava for Pulmonary Embolism: A Report of 20 Cases , Ann Surg 155: 827-835, 1962.Crossref 16. Trendelenburg, F.: Über die chirurgische Behandling der puerperalen Pyaemie , Munchen Med Wschr , 1912 17. Miller, C. J.: Ligation or Excision of the Pelvic Veins in the Treatment of Puerperal Pyemia , Surg Gynec Obstet 25:431-452, 1917.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1963

References