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July 1986

Reoperative Arterial Surgery

Arch Surg. 1986;121(7):858. doi:10.1001/archsurg.1986.01400070128040

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Most surgeons are too ashamed to talk, much less write, about their need to reoperate on a lesion they set out to cure. Not so for the vascular surgeon, to whom this is a way of life; it goes with the territory. This book is the result of the annual autumnal vascular pilgrimage to the Northwestern University, Evanston, Ill, shrine, where well-chosen experts analyzed 35 aspects of reoperative arterial surgery. If these 71 experts admit to their familiarity with the problem, then so can lesser mortals.

The book starts off with general discussions of such matters as thrombosis and flow characteristics, and a few subsequent chapters focus on the diagnosis of graft occlusion. The book then settles down to more than 300 pages devoted to anatomically isolated problems that require reoperation. These include the need to reoperate on the abdominal aorta, groin vessels, and carotid artery, and a justifiably long

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