Abstract

<h3>Surgery of the Sympathetic</h3> The Revilliod-Julliard lecture was recently delivered to the Medical Society of Geneva by Prof. René Leriche of Strasbourg. His subject was "The Surgery of the Sympathetic and Its Results." The nervous mechanism of angina pectoris is always the same, no matter what may be the cause of the attack. A rational surgical treatment should aim to interrupt the ascending fibers. A study of one hundred operative cases of angina pectoris, ninety-four of which can be used in statistical analyses, shows that the attacks disappear in about 62 per cent of the cases. In most of these, attacks have been absent for more than three months, but a longer time is necessary before conclusions can be reached as to the permanence of the results. The few failures and most of the mortality (which is 13 per cent) are to be attributed to defective technic and to operations

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