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COMBINED LIGATION AND INJECTION TREATMENT OF THE VARICOSED GREAT SAPHENOUS VEIN

C. HARLAN JOHNSTON, M.D.
JAMA. 1937;109(17):1359-1362. doi:10.1001/jama.1937.02780430037008.
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The ligation of varicose veins is not a new practice, nor is the high ligation of the long saphenous and injection of its distal end a new practice. Both these operations have been followed by recurrences of the veins, and as a result the strides toward perfection have brought about the present technic of high ligation, dissection of all the branches at this level and their ligation and section and the injection of the distal end of the saphenous vein. The latest technic is the culmination of all past attempts.

Ligation of the saphenous has been done since the days of Hippocrates. As time progressed the site of the ligation crept gradually upward, owing to the frequent recurrences of the varicose veins by the dilatation of collateral circulation. In 1896 Moore1 of Australia recommended that the ligation be placed above any branches, but still he actually in practice made

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