. Manual of operative surgery. Fig. 989.—(Matas.) Fig. 990.—(Malas.). ^^ 991 Fro. QQ2.—{Malas.) into the arter\ and close it by suture or ligate the vessel, unless the false aneu-rysm is secondary to the rupture of a true one, when one must treat the trueaneurysm after clearing out its contents. The sac of a false aneurysm shouldbe treated in the same fashion as that of a true one. MATAS OPERATION 829 Step 3.—The aneurysm is fusiform (Fig. 989). With sutures of catguton a curved needle (without cutting edges) close all the orifices entering the a similar suture (continuous), inserted
. Manual of operative surgery. Fig. 989.—(Matas.) Fig. 990.—(Malas.). ^^ 991 Fro. QQ2.—{Malas.) into the arter\ and close it by suture or ligate the vessel, unless the false aneu-rysm is secondary to the rupture of a true one, when one must treat the trueaneurysm after clearing out its contents. The sac of a false aneurysm shouldbe treated in the same fashion as that of a true one. MATAS OPERATION 829 Step 3.—The aneurysm is fusiform (Fig. 989). With sutures of catguton a curved needle (without cutting edges) close all the orifices entering the a similar suture (continuous), inserted in the Lembert fashion, obliteratethe deeper portions of the sac, so that all the stitches closing the orifices are hid-den (Fig. 990). Turn the flaps of skin plus sac wall inwards and fix them bysutures as in Figs. 991 and 992. Remove the elastic constrictor. Applydressings. It is of prime importance not to separate the sac from its surround-ings, as its walls are poorly nourished at best, and sloughing is to be of inverting the skin and part o
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