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January 1956

Obliteration of Varicose Veins by the Intraluminal Suture Technic

Author Affiliations

National Heart Trainee, U. S. P. H. S. (Dr. Murphy).; From the Department of Surgery, University of Minnesota Medical School, Minneapolis, and the University Surgical Service, St. Joseph's Hospital, St. Paul, Minnesota.

AMA Arch Surg. 1956;72(1):149-152. doi:10.1001/archsurg.1956.01270190151016

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.

METHOD  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

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