The practice of surgery . ian method,and has been favored by many modern surgeons. Undoubtedly, it is animprovement upon the Antyllian method, but it has its disadvantages,as I shall show. Far the most popular operation until recent years has been that ofHunter—proximal ligation of the artery at a distance above theaneurysm but below the large anastomosing vessels. John Huntersclaspi tion, performed in 1786, was done for popliteal aneurysm. ^ ?moral in Hunters canal below the profunda and secured ,ult. The disadvantages and dangers of the Antyllian and Hunterianoperations may not offset the ad
The practice of surgery . ian method,and has been favored by many modern surgeons. Undoubtedly, it is animprovement upon the Antyllian method, but it has its disadvantages,as I shall show. Far the most popular operation until recent years has been that ofHunter—proximal ligation of the artery at a distance above theaneurysm but below the large anastomosing vessels. John Huntersclaspi tion, performed in 1786, was done for popliteal aneurysm. ^ ?moral in Hunters canal below the profunda and secured ,ult. The disadvantages and dangers of the Antyllian and Hunterianoperations may not offset the advantages, but it is worth our whilebriefly to consider this question. The original operation of Antyllushas the advantage of occluding the artery close above the aneurysmand close below it, so that the higher anastomotic branches of the main 788 MINOR SURGERY—DISEASES OF STRUCTURE artery are not disturbed, and arc left to carry blood to the distantparts of the affected limb. At the same time, liowe\-er, as Matas has. 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
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
