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Article
September 1944

SURGICAL TREATMENT OF HYPERTENSIONTHE EFFECT OF RADICAL (LUMBODORSAL) SPLANCHNICECTOMY ON THE HYPERTENSIVE STATE OF ONE HUNDRED AND FIFTY-SIX PATIENTS FOLLOWED ONE TO FIVE YEARS

Author Affiliations

BOSTON
From the Medical and Surgical Services, Massachusetts General Hospital.

Arch Surg. 1944;49(3):180-193. doi:10.1001/archsurg.1944.01230020186005
Abstract

The series of 156 hypertensive patients whose cases are considered in this paper were operated on during the past five years and followed for one to five years. The preoperative resting diastolic blood pressure levels ranged from 100 to 162 mm. of mercury. There were 92 women and 64 men. The average age of the women was 35 and of the men 40 and of the entire series 37. The ages ranged from 16 to 57 years.

Included are 11 patients with pyelonephritis1 and 1 with polycystic kidneys. They have done unusually well. Three patients with adrenal tumors,2 cortical or medullary, which in retrospect appeared to be dominant factors in the hypertensive state are excluded. On the other hand, 6 patients with adrenal tumors which did not appear to have been of major importance are included. All of these had cortical adenomas, which, like all of the tumors,

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