The procedure described by Dr. Rudolph Matas1 has attracted widespread attention, and has been tried in a number of successful cases, recently reported, sufficiently to prove its merit as a permanent and notable advance in the surgical treatment of aneurism. It is still, however, a comparatively new and untried method, and all clinical reports which bear on its application in atypical conditions should be instructive and profitable to the practical surgeon.
Presuming that the reader is familiar with the original procedure described by Dr. Matas, I will limit my remarks to two cases of aneurism of the fusiform type which came under my observation in the Charity Hospital. In each instance, the aneurism had ruptured into the subcutaneous and intermuscular spaces before I was called to operate on the patient. On account of existing conditions, I deemed it expedient to depart in some details from the technic recommended by the