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Article
July 9, 1898

CHRONIC PHLEBITIS OF THE SAPHENOUS VEINS; SAPHENECTOMY.

Author Affiliations

PARK CITY, UTAH.

JAMA. 1898;XXXI(2):68. doi:10.1001/jama.1898.92450020024002d

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Abstract

The pathologic condition of chronic phlebitis is a sclerosis of the veins, similar to atheromatous changes in the arteries; the veins become cord-like All the coats of the veins may be thickened and indurated, or the external coat only may be affected. In chronic phlebitis of the saphenous veins of the leg, the tissues around the veins are also swollen, often several times their natural size. Varices of the adjacent branches sometimes occur. In cases of long standing, eczema and ulcerated patches affect the skin, which becomes hard, thick and glazed. Severe pain, especially on standing or walking, is complained of.

Medicinal treatment of chronic phlebitis of the saphenous veins is very unsatisfactory. Drugs may ameliorate the eczema, pain and swelling to a certain extent, but this is only temporary.

Surgery promises better results. Lea recommends tying of the veins. The most rational method seems

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