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November 23, 1946

Clinical Notes, Suggestions and New Instruments

JAMA. 1946;132(12):701-702. doi:10.1001/jama.1946.02870470027006

NEW TREATMENT FOR INCOMPETENT VALVES IN VARICOSE VEINS  GERALD H. PRATT, M.D. New YorkIn several reports published in the last ten years I have discussed the problem of treating varicose veins.1 The large number of patients who are disabled from the complication of pathologic changes in the veins of the lower extremities makes this problem increasingly important.The technic of resecting a section of the saphenous vein and its branches at the femoral junction is well standardized.1a The necessity of an adequate resection to divide any connection between the superficial and the femoral system high in the groin without leaving a saphenous stump requires continued emphasis. Approximately one fourth of all my new patients have had a ligation previously, and in all but 2 of these patients on whom I have reoperated in the last year either a large saphenous

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