Original communication Society for Vascular Surgery (concluded)| Volume 41, ISSUE 2, P276-286, February 1957

Biliary drainage

  • Manuel Santos
    From the Division of Surgery, Walter Reed Army Institute of Research, Walter Reed Army Medical Center Washington, D. C. USA
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  • Max L. Smith
    From the Division of Surgery, Walter Reed Army Institute of Research, Walter Reed Army Medical Center Washington, D. C. USA
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  • Carl W. Hughes
    From the Division of Surgery, Walter Reed Army Institute of Research, Walter Reed Army Medical Center Washington, D. C. USA
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  • Author Footnotes
    ∗ Instructor of Surgery, Universidad de Chile (Catedra Prof. Velasco S.), Contract Surgeon to the Chilean Army.
    ∗∗ Assistant Chief, Department of Surgery, Walter Reed Army Hospital.
    ∗∗∗ Director, Division of Surgery, Walter Reed Army Institute of Research, Walter Reed Army Medical Center.
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      The unsatisfactory results following biliary tract surgery have been reviewed and some of the specific conditions causing the postbiliary surgery syndrome listed. These all seem to be related to biliary hypertension, stasis, and infection. Certain objections to the routine use of the T-tube have been summarized and the possible relation of the use of this tube to the biliary surgery sequelae pointed out.
      A technique of biliary drainage, using an indwelling Polyvinyl tube, has been devised and tested on 14 dogs. The tube passed spontaneously in every animal in an average of 12.8 days without the occurrence of bile leakage, bile peritonitis, or postoperative death. The advantages of this method have been discussed.
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