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January 1956

An Evaluation of Radical Surgery for the Post-Thrombophlebitic Syndrome

Author Affiliations

Norfolk, Va.
Norfolk General Hospital; Resident in Vascular Surgery (Dr. Mascaro) and Chief, Peripheral Vascular Disease Service (Dr. Lowenberg).

AMA Arch Surg. 1956;72(1):136-148. doi:10.1001/archsurg.1956.01270190138015

Scores of articles are published yearly relative to the post-thrombophlebitic syndrome. In these articles it is apparent that the therapy of the post-thrombophlebitic syndrome is still highly controversial. Many authors * advocate a conservative medical program. Others † claim that the surgical approach is the preferable one. The medical treatment usually includes long periods of bed rest or at least marked restriction of physical activity. As a result, many days of work and pay are lost. Conservative management at best is palliative only and certainly not curative. Nevertheless, the conservative medical program is all we have to offer and is adequate for the average post-thrombophlebitic case. We propose in this paper to advocate for the late and seriously crippling cases radical surgical treatment and are presenting an analysis of 60 patients so treated to substantiate our claims.

HISTORY  In 1941 Homans4 brought out the idea of ligation or partial resection

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