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To the Editor:
—In The Journal, March 12, Herman E. Pearse, Jr., gives a comprehensive discussion of vein ligations in the treatment of arteriosclerotic and diabetic gangrene. Since the publication of my first case (The Journal, April 13, 1929, p. 1264), vein ligation was performed in two patients. The indications in all three cases were the same: an impending gangrene, but no break in the continuity of the skin, absence of peripheral pulses below the popliteal artery, excruciating pain both after exercise and at rest. These patients would more or less fit into group 3 of Dr. Pearse's classification.The immediate results (two popliteal veins and one femoral vein were ligated) were very gratifying, in that there was relief from pain and marked increase in surface temperature. Nevertheless, all three cases came to amputation within six months. Edema, which according to Dr. Pearse occurred only once in thirty cases, was
de Takáts G. VEIN LIGATION IN THE TREATMENT OF ARTERIOSCLEROTIC AND DIABETIC GANGRENE. JAMA. 1932;98(21):1831. doi:10.1001/jama.1932.02730470053029