Emerson, Edward C.
January 1963
Angiology;Jan1963, Vol. 14 Issue 1, p8
Academic Journal
History reveals the trend of treatment in varicose veins from the earliest to modern times to be first surgical, then conservative (nonsurgical) then surgical again after Lister and Pasteur. There followed a period characterized by fear of pulmonary embolism after usually long post operative bedrest. This occasioned attention to be given to the development of injection treatment of veins. The history of this period (injection of veins) is reviewed with mention of numerous reports in the literature on its shortcomings and failures. It is therefore urged that the injection method of treatment be completely abandoned and that all varicose veins requiring treatment be dealt with surgically, preferably by high ligation, stripping and excision. Even the late development of new varices or those missed at the time of operation. should have local injection of procain followed by excision or ligation. It may surprise some to learn that the resultant scars are really inconspicuous and above all that surgical removal is completely safe.


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