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Article |

The Surgeon's Management of Gangrene

Christopher K. Zarins, MD
JAMA. 1980;244(24):2770. doi:10.1001/jama.1980.03310240062035.
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In The Surgeon's Management of Gangrene, the authors outline their approach to the treatment of peripheral occlusive disease at the Glasgow Royal Infirmary and Belvedere Hospital. They begin with a brief historical overview of lower extremity ischemia. They outline the clinical presentation of patients with peripheral occlusive disease and the rationale and approach to reconstructive vascular surgery to avoid amputation. They deal with the problems of vascular injury, embolism, and aneurysmal disease and, in addition to direct vascular reconstruction, discuss the use of sympathectomy, amputation, and rehabilitation.

The book has excellent illustrations and is well written and easy to read. It is unique in that it has an unusual and interesting manner of listing references in the margins, so that they are immediately available to the reader. The book is clearly written, but of necessity, many of the issues that are dealt with are simplified and abbreviated. The authors discuss


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