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Diagnosis: Chronic, Recurrent Stasis Ulcer of Leg Treated by the Foley Method. Presented by Dr. Conrad Stritzler and Dr. William T. Foley (by invitation).
A 41-year-old housewife is presented with a history of varicose veins since her first pregnancy 18 years ago. Since then there have been recurrent ulcers chiefly of the left leg. She has had many injections for varicosities, and in 1954 was subjected to bilateral sympathectomy and multiple ligations of veins. There was some temporary improvement, but soon ulcers recurred. With rest and occlusive dressings (Unna boots) they healed. In September, 1961, an ulcer reappeared. This time there was no response to occlusive dressings and rest over a 2-month period.On Oct. 16, 1961 treatment with the Foley method was begun. This consists essentially of the induction of an obliterative endophlebitis by injecting heparin and a sclerosing agent into empty and collapsed veins. As of now the