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Article
May 20, 1911

VENOUS ANASTOMOSIS FOR CURE OF VARICOSE VEINS: VENOVENOSTOMY

Author Affiliations

SAN FRANCISCO

From the Laboratories of Experimental Research, State University of California.

JAMA. 1911;LVI(20):1447-1448. doi:10.1001/jama.1911.02560200015009
Abstract

In this paper is described briefly the technic of an operation devised by H. A. L. Ryfkogel and myself in these laboratories, and then practiced in the San Francisco Polyclinic and Post-Graduate School.

After working one year in the laboratory on the subject of vascular surgery, with comparatively uniform results, we felt that our technic was worthy of being put into practice in the clinic. Accordingly we performed Delbet's operation on several patients.

As Delbet's operation carries with it a certain amount of danger, by the possibility of thrombus formation in the femoral vein, we concluded to make an end-to-end anastomosis of a branch of the superficial femoral vein with the internal saphenous vein. By so doing, we obviate the danger from a thrombus, for if by error in technic one forms, it will be remote from the femoral vein.

The object of this operation is to reestablish a normal

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