Leu, H. J.
September 1964
Angiology;Sep1964, Vol. 15 Issue 9, p371
Academic Journal
In modern phlebology there is no longer room for a dogmatic, one-sided conception of the therapy of the venous diseases. Controversies about the question of ‘sclerotherapy or surgery’ are out of date. Each method has its advantages and its disadvantages which must be weighed individually in every case. The term ‘varicose veins’ is no longer an adequate diagnostic expression; it has passed as, for example, has the term ‘rheumatism.’ Varicose veins are only a symptom common to many conditions of the venous pathology. The conditions which were described in this paper must be distinguished in the first place before the choice of treatment can be discussed. Indications for active or conservative therapy, for sclerotherapy or surgery are influenced by the individual criterions of these various types of venous diseases. Numerous factors and also some paramedical points are of importance and must be considered before the choice of treatment is made. Some conditions call for a certain therapy; others allow more than one therapeutic possibility. The exact knowledge of the various conditions is basic; technical skill is essential for a successful sclerotherapy as well as for a successful surgery. It is a mistake to believe that sclerotherapy requires less experience and knowledge than surgery. Modern vein surgery, on the other hand, has made enormous progress and has become an important section of vascular surgery. Damages by either method —surgery or sclerotherapy—can be avoided or at least reduced to a minimum by a thorough choice of the most adequate therapy for every case and by technical skill and personal experience. A close cooperation among angiologists will contribute to finding the best therapeutic ways for the various types of the varicose disease.


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