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Training of a Vascular Surgeon

ALTON OCHSNER, M.D.
AMA Arch Surg. 1957;74(1):1-4. doi:10.1001/archsurg.1957.01280070005001.
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No branch of surgery has advanced as much in the past decade as has surgery of the vascular system. Prior to a decade and a half ago, surgery of the vascular system consisted of ligation of bleeding vessels; correction of peripheral aneurysms by ligation, exclusion, or partial excision; correction of venous abnormalities; removal of vascular tumors, and decortication of the heart for constrictive pericarditis and repair of heart wounds. For the performance of these procedures it was necessary that the surgeon be well trained in surgical techniques generally and possess courage to treat certain vascular tumors and aneurysms. Tremendous impetus was given to vascular surgery by the fundamental investigations of Carrel on arterial suture and the clinical observations and treatment of aneurysms by Matas in which the relatively conservative procedure of endoaneurysmorrhaphy was employed. It is remarkable, however, that very little fundamental advance was made in surgery of the vascular

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