An incompetent saphenous vein may be obliterated by various means. Retrograde injection with sclerosing solutions was originally believed to be a simple and hazardless procedure.1 Boyd3 has shown that radiopaque contrast medium with the sclerosing agent, injected into superficial varices, enters rapidly into the deep venous system, where it probably has a deleterious effect. For this reason we have believed the injection of massive amounts, 5 cc. or more, of sclerosing agents should be abandoned.
Abraham4 reported upon the use of a silk thread introduced into the lumen of the saphenous vein to cause thrombosis and ultimate obliteration of the vein. This is a report of further experience with similar techniques.
The entire limb is cleansed and prepared for surgery with a hexachlorophene (pHisoHex) scrub the evening before and just prior to surgery. The skin incision and high saphenous ligation are done after the method
MURPHY TO, FELDER DA, CASEY JH. Obliteration of Varicose Veins by the Intraluminal Suture Technic. AMA Arch Surg. 1956;72(1):149-152. doi:10.1001/archsurg.1956.01270190151016