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Three years have elapsed since the first edition of this monograph was published. The whole book has been revised. Important changes have been made in the descriptions of the clinical grading and prognosis of Raynaud's disease; sections on the recognition of localized structural diseases of the arteries, on afferent pathways in the sympathetic nervous system and on the discussion of sympathectomy for relief from dysphagia are new.
This work is primarily an account of experiences in the surgical unit of St. Bartholomew's Hospital. It does not attempt to be a review of the whole field except when it coincides or disagrees with the observation of others. After a lucid description of the anatomic and physiologic characteristics of the sympathetic nervous system, sympathectomies for disorders of the circulation and the visceral motor mechanism and for relief from pain are discussed. Special attention is given to the selection of patients, which seems