SEGMENTAL SCLEROSIS OF THE SAPHENOUS VEIN FOR VARICOSE VEINS, ULCERS AND DIMINISHED ARTERIAL SUPPLY

The advantages of the combined ligation and injection of the saphenous vein in the treatment of varicose veins and ulcers over previous therapeutic measures has been generally accepted. Experience has shown certain disadvantages that require technical changes and improvements. The original method did not provide for a uniform sclerosis, and this important addition to provide an evenly segmented sclerosis and to eliminate local reactions is presented. In the vascular service of the New York Post-Graduate Hospital (Columbia University) in the last twenty-four months the technic developed for this method has proved most satisfactory and has eliminated the morbidity and local slough previously experienced. The results in most instances have likewise eliminated the necessity for local injections at a later date.

Only two contraindications to the procedure are made: the presence of an incompetent deep venous circulation and a recent acute phlebitis. Ulcers respond readily and are not a contraindication. Contrary