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December 9, 1939

Sclerosing Therapy: The Injection Treatment of Hernia, Hydrocele, Varicose Veins and Hemorrhoids

JAMA. 1939;113(24):2175-2176. doi:10.1001/jama.1939.02800490071029

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Sclerosing therapy has emerged from the stage of experiment and empiricism. For a long time the domain of itinerant quacks and misunderstood pioneers, it is now taking a definite place in the hands of well trained physicians whose experience is not limited to this form of treatment. It is not the possession of a syringe and needle that qualifies the general practitioner to use such methods but a thorough understanding of the nature of the disease whose treatment by injection has been assembled in this group of four monographs.

The first of these, on the injection treatment of hernia by Bratrud, is perhaps the least convincing and encouraging. In spite of his careful selection of cases and surely an excellent technic, he reports recurrences in bilateral, indirect inguinal hernias in 31 per cent, the direct inguinal hernias giving a recurrence rate of 40 per cent. This, in the light of

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