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FAILURE OF POLYETHYLENE WRAPPING IN TREATMENT OF AORTIC ANEURYSMS

MICHAEL E. De BAKEY, M.D.; OSCAR CREECH Jr., M.D.; DENTON A. COOLEY, M.D.; BÉLA HALPERT, M.D.
AMA Arch Surg. 1955;70(1):65-78. doi:10.1001/archsurg.1955.01270070067012.
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THE VARIOUS procedures which have been proposed and used in the surgical treatment of aneurysms of the aorta have been classified into three major categories: (1) those designed to promote thrombosis and fibrotic organization by partial, complete, or gradual occlusion or ligation of the aorta, by the introduction of foreign material, or by the stimulation of periarterial fibroblastic reaction; (2) endoaneurysmorrhaphy, and (3) extirpation of the lesion.* Among the first group the use of cellophane or polyethylene wrapping has gained considerable popularity in recent years, owing probably to its relative ease and safety of application. The essential basis for its usefulness lies in certain experimental evidence of its ability to promote fibrosis. Clinically, however, its efficacy has not been well established and has actually been questioned.† For this reason it seems desirable to report our experience with eight cases in which this method of therapy was employed and in which

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