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PHILIP E. BERNATZ, M.D.

AMA Arch Surg. 1960;81(3):373-378.

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

Various complications contribute to the risk of resection for aneurysms of the abdominal aorta. Of these, significant ischemia of a portion of the colon has occurred often enough to warrant separate consideration. Four patients, comprising about 1% of Mayo Clinic experience, have died during the postoperative period as a direct result of this complication. This problem was anticipated at the advent of resectional therapy for abdominal aneurysms, but it became evident from practical experience that the inferior mesenteric artery could usually be divided close to the aorta with impunity; indeed, it was already occluded in many patients. Also, the adoption of the procedure of high ligation of the inferior mesenteric artery in resection for malignant lesions of the descending colon has provided a vote of confidence in the collateral arterial blood supply of this portion of the bowel.¹ Excellent investigations such as that of Griffiths² have added more . . . [Full Text PDF of this Article]

Author Affiliations
Rochester, Minn.

Section of Surgery, Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

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

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