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Étude ANALYTIQUE et synthétique DE LA sympathectomie périartérielle appliquée AU traitement DES ulcères chroniques DES membres inférieurs. Physiopathologie et résultats immédiats et éloignés de la denudation artérielle.

JAMA. 1926;86(19):1475. doi:10.1001/jama.1926.02670450067034.
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The author has made a study of 346 cases of chronic leg ulcers treated by periarterial sympathectomy. A part of this group is composed of hitherto unpublished cases. The first chapters deal with the history of the operation and with the morphology and physiology of vascular innervation. The technic of the instrumental arterial denudation is carefully presented. A number of excellent tables compiled from cases in the literature show the immediate and the late clinical results of periarterial sympathectomy in cases of ulcers of the leg, the toes, the instep, the foot, and amputation stumps. He discusses the accidents of this operation and the likelihood of their occurrence. These include operative wounds of the vessels, secondary rupture of an artery, arteritis with thrombosis, and local aggravation of the trophic lesions. The means of prevention of these sequelae generally are: (a) selection of a large accessible trunk; (b) use of sharp


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