THE OPERATIVE TREATMENT OF VARICOSE VEINS OF THE LEG.

Varicose veins in the lower extremities occur as the result of varied conditions, some inflammatory, some of less definite character. It is probable that hereditary tendency is of etiologic significance in this connection. The disorder is due to incompetency of the valves whose function it is to prevent the stagnation of blood in vessels, the contents of which must be propelled in opposition to the force of gravity. Phlebitis, complicating or following pregnancy, or some operative procedure or acute infection, is the cause in a considerable proportion of cases. The erect posture long maintained in predisposed individuals will account for another group of cases. Palliation can be afforded in many instances by means of the recumbent decubitus or elevation of the affected member or members, or by the use of elastic constriction. but operative intervention becomes necessary for radical relief, the object being to effect occlusion of the