Gerson, Louis
June 1962
Angiology;Jun1962, Vol. 13 Issue 6, p260
Academic Journal
The article discusses the treatment of varicose veins. Varicose veins fall into four main categories: Various veins of the cogenital type due to anomalies of embryologic development; Varicose veins of the cogenital type associated with a more serious anomaly; Various veins caused by permanent hyperfunction of arteriovenous shunts; Combined varicose veins. The widely held opinion that large varicose veins should be operated upon, and small ones sclerosed, should be rejected, and more specific criteria should be employed. These factors should be taken into account: facilities for treatment, quality of results, cost of treatment, length of absence from work, the patient's age, social background, sex and the qualifications of the personnel administering treatment. In the classification of patients and methods, all clinical resources should be used. In varicose veins of the internal saphena which are easily accessible, all methods of treatment are valid. When there are various veins of the internal saphena to which access is gained with difficulty, only surgical intervention is recommended.


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