The practice of surgery . Fig. 488.—Operation to restore current in saccular aneurvsm, first stage: Plac-ing of interrupted sutures through borders of arterial opening into aneurysm,leaving channel of vessel intact (Matas). sho-wn, this operation does not control supernumerary feeders to theaneurysm. These feeders ma^- dilate and bleed into the sac after the. Fig. 489.—Operation to restore current in saccular aneurjsm, second stage:The interrupted sutures through the borders of the arterial opening have been second tier of interrupted sutures overlying and outlying tlie first is being p
The practice of surgery . Fig. 488.—Operation to restore current in saccular aneurvsm, first stage: Plac-ing of interrupted sutures through borders of arterial opening into aneurysm,leaving channel of vessel intact (Matas). sho-wn, this operation does not control supernumerary feeders to theaneurysm. These feeders ma^- dilate and bleed into the sac after the. Fig. 489.—Operation to restore current in saccular aneurjsm, second stage:The interrupted sutures through the borders of the arterial opening have been second tier of interrupted sutures overlying and outlying tlie first is being placedthrough the inner coats of the aneurjsmal sac, wliich, upon being tied, will burythe first tier and ridge up the floor of the aneurysm in the median line (Matas). operation, for we must remember that an essential step in the operationof Antyllus consists in opening and clearing out the sac. In recent ANEURYSM 789 years surgeons have substituted excision of the sac for opening it—aninteresting advance in treatment; but excision of the sac involvesthe removal often of many small vessels, and sometimes of nervesand other structures embedded in the aneurysms wall. Even so, theoperation of Antyllus, modified by excision, has shown admirableresults during the aseptic period—the operative mortality being zero,and subsequent gangrene being recorded
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
