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Obliteration of Varicose Veins by the Intraluminal Suture Technic
THOMAS O. MURPHY, M.D.;
DAVITT A. FELDER, M.D.;
JAMES H. CASEY, M.D.
AMA Arch Surg. 1956;72(1):149-152.
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An incompetent saphenous vein may be obliterated by various means. Retrograde injection with sclerosing solutions was originally believed to be a simple and hazardless procedure.1 Boyd3 has shown that radiopaque contrast medium with the sclerosing agent, injected into superficial varices, enters rapidly into the deep venous system, where it probably has a deleterious effect. For this reason we have believed the injection of massive amounts, 5 cc. or more, of sclerosing agents should be abandoned.
Abraham4 reported upon the use of a silk thread introduced into the lumen of the saphenous vein to cause thrombosis and ultimate obliteration of the vein. This is a report of further experience with similar techniques.
METHOD
The entire limb is cleansed and prepared for surgery with a hexachlorophene (pHisoHex) scrub the evening before and just prior to surgery. The skin incision and high saphenous ligation are done after the method
. . . [Full Text PDF of this Article]
Author Affiliations
Minneapolis
National Heart Trainee, U. S. P. H. S. (Dr. Murphy).; From the Department of Surgery, University of Minnesota Medical School, Minneapolis, and the University Surgical Service, St. Joseph's Hospital, St. Paul, Minnesota.
Footnotes
Recorded for publication Sept. 7, 1955.
Presented at the Third Scientific Meeting of the North American Chapter of the Society of Angiology, Atlantic City, N. J., June 4, 1955.
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