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January 18, 1947


Author Affiliations

Beverly Hills, Calif.

JAMA. 1947;133(3):197. doi:10.1001/jama.1947.02880030051020

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To the Editor:—  Dr. Gerald H. Pratt's article on the Treatment of Varicose Veins, in The Journal, Nov. 23, 1946, suggesting the use of interval suspension of the distal stem of the resected "blowouts" in varicose vein surgery, proves further to me that the work of Dr. R. Stanton Sherman of San Francisco is the closest approach to complete success. If the workers in this field will refer back to his articles, starting with California and Western Medicine in September 1942, through the later ones in the Annals of Surgery in November 1944, they will find the anatomic basis for his extensive operative procedure of bilateral high saphenous vein ligation, perforator interruption and stripping, with short saphenous ligation and perforator interruption, as well, in many cases where it is indicated.The anatomic pattern of the venous system of the lower extremity is easily visualized in cross section roughly as a

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