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March 17, 1962

Surgical Treatment of Varicose Veins

Author Affiliations

133 E. 58th St., New York City 22

JAMA. 1962;179(11):915-916. doi:10.1001/jama.1962.03050110083027

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To the Editor:—  I was gratified to read "Results of Surgical Treatment of Varicose Veins," by Drs. Agrifoglio and Edwards, in the Dec. 2, 1961, issue of The Journal (178:906). I would like to point out constructively how this long-term surgical study could have greater value. In the interest of brevity, this will be tabulated: (1) Postoperative injection treatment was given to 168 patients within the first year. This is 40% of all the cases studied. Later in the article the authors indicate that injection treatment should not be used because of damage to the valves. How can this point of view be reconciled with the fact that in almost half their cases injections had to be used to complete the cure? (2) There is no mention of heredity as a factor in varicose vein formation, nor is there any admission of chronicity in this disease. Rather, the authors