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November 1935

The Clinical Aspects of Visceral Neurology, with Special Reference to the Surgery of the Sympathetic Nervous System.

Arch Intern Med (Chic). 1935;56(5):1066. doi:10.1001/archinte.1935.00170030234016

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This book gives a brief review of the anatomy, physiology and clinical aspects of visceral surgery but, as the name implies, is written chiefly from the point of view of the surgeon with respect to sympathetic surgery. The physiologic aspect of both the normal control of the peripheral circulation and the late effects of sympathectomy are not treated sufficiently to give the reader a clear conception of these complex processes. There is some discussion regarding the skin temperature as a test of circulation, but Livingston does not impress on the reader that at best the skin temperature can be only a rough approximation of circulation, as it is well known that the skin temperature represents the sum total of a number of factors acting on the skin, of which circulation is only one. Failure to appreciate this fact and the ease of taking the skin temperature has led to unwarranted

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