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Some Surgical Considerations

William W. L. Glenn, MD

Arch Surg. 1981;116(8):989-995.

Abstract
• This article on the lymphatics was undertaken for three reasons: The first is to recount the story of the rediscovery of these vessels in the 17th century and briefly review the subsequent events leading up to our present knowledge of the lymphatic system. The second is to emphasize the role of the lymphatics in maintaining extracellular fluid balance, in the removal of protein, fat, and other substances of large molecular size from the tissue spaces, and in the circulation of the lymphocytes from their germinal centers and storage depots to all parts of the body via lymphaticovenous connections. The third reason is to suggest that the responsibility for maintaining the transport function of the lymphatics properly belongs to the vascular surgeon.

(Arch Surg 1981;116:989-995)

Author Affiliations
From the Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication Feb 2, 1981.

Read as the presidential address at the seventh annual meeting of the New England Society for Vascular Surgery, Durham, NH, Sept 25, 1980.

Reprint requests to Department of Surgery, Yale University School of Medicine, 333 Cedar St, PO Box 3333, New Haven, CT 06510 (Dr Glenn).

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