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ARTICLE |

NONOBSTRUCTIVE LATERAL PORTAL VEIN-VENA CAVA ANASTOMOSIS:  A Clinical Application of the Smith Freeman Clamp

ORMAND C. JULIAN, M.D.; WILLIAM METCALF, M.D.
Arch Surg. 1949;59(3):433-436. doi:10.1001/archsurg.1949.01240040441006.
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THE APPLICATION of advancing methods of venous anastomosis to the problem of portal hypertension has demonstrated the value of surgical treatment in diminishing the dangers of hemorrhage secondary to this condition. Blakemore,1 Whipple2 and Linton3 have explored the feasibility and value of a variety of methods and sites of the production of venous shunts between the portal system and the vena cava. Although Linton has reported apparent success in 2 cases, utilizing anastomosis between the superior mesenteric vein and the vena cava in 1 and between the inferior mesenteric vein and the left ovarian vein in the other, the majority of anastomoses have been splenorenal or from the portal vein to the vena cava. The operation most frequently reported has been anastomosis of the splenic vein to the left renal vein, end to side, after splenectomy. Less often an end to side anastomosis between the portal vein

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