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Observations with the Operation Microscope

JOHN A. GIUS, M.D.

AMA Arch Surg. 1960;81(2):299-310.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In this paper I propose to report certain observations on patients treated for varicose veins; to describe possible arteriovenous anastomoses (AVA) found in this condition, and to suggest that these tiny shunts are concerned in the development of varices. In addition, I will refer briefly to the use of the operation microscope for explorations during surgical procedures.

Method and Material

Studies were made upon 14 unselected patients with varicose veins. All were treated by ligation and stripping except one woman who was seven months pregnant. All had preoperative studies which included a clinical history, physical examination, routine laboratory procedures and special tests for venous valvular competency. All definitive operations were carried out under spinal or general anesthesia with the patient in Trendelenberg position to minimize bleeding from superficial veins.* After careful dissection of the sites designated for detailed study, photographs and sketches were made and the observations were supplemented by . . . [Full Text PDF of this Article]

Author Affiliations
Iowa City

From the Department of Surgery, College of Medicine, State University of Iowa.

Footnotes
Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 19, 1960.

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