Direct surgical attack by resection and grafting has earned a lasting place in the treatment of aneurysmal and insidious obliterative diseases of the abdominal aorta. As this method of therapy, in the wake of the many reported excellent early results,* becomes more popular, an assessment of certain problems concerning operative indications and technical steps in its use appears desirable. Among many such problems the most vexing ones in our experience have been the determination of the operability of aneurysmal lesions (by operability here being meant not merely technical resectability but resectability with a "reasonable" hope of cure) and the selection of the appropriate excisional procedure for obliterative disease. We wish, therefore, to present the lessons we learned in attempting to cope with these problems in the management of 15 aneurysmal and 19 occlusive aortic lesions treated by resection and grafting.
ANEURYSMAL DISEASE: OPERATIVE INDICATIONS AND CONTRAINDICATIONS
The true scope of