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August 29, 1966

Mondor's Disease

JAMA. 1966;197(9):732-733. doi:10.1001/jama.1966.03110090096038

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To the Editor:—  The note on Mondor's disease and String Phlebitis (196:1087, 1966) suggests a crude technique for treatment, "the forcible snapping of the band."String phlebitis occasionally occurs after plastic surgery of the breast, especially augmentation mammoplasties and subcutaneous mastectomies with immediate prosthetic augmentation. Sectioning of the fibrous band or a simple excision of a segment will relieve the pain and tenderness immediately, as well as allow rapid subsidence of the subcutaneous inflammatory phlebitis. Local anesthesia around the inflamed vessel has helped and reduced the spastic element.It is absurd to allow spontaneous disappearance in a painful or tender band if simple incision or segmental excision will reduce it immediately. "Forcible snapping" is akin to hitting a ganglion with the family Bible.