Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


As the condition tends to remain stationary, the support of an elastic
bandage is all that is required; but when the condition progresses and
causes serious inconvenience, it may be necessary to cut down and expose
the communication between the artery and vein, and, after separating the
vessels, to close the opening in each by suture; this may be difficult
or impossible if the parts are matted from former suppuration. If it is
impossible thus to obliterate the communication, the artery should be
ligated above and below the point of communication; although the risk of
gangrene is considerable unless means are taken to develop the
collateral circulation beforehand (Makins).

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