The surgical cure of primary varicose veins

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Abstract
A prime requisite of successful varicose vein surgery is a detailed clinical examination. This reveals a new test for short saphenous incompetence and shows that 14 per cent of varices stem from a saphenopopliteal reflux. The intimate details of juxtafemoral and juxtapopliteal ligation are emphasized and the common causes of failure pointed out. The technique of “scarless” varicose vein surgery is described. A 6–10-year follow-up of some 2000 patients reveals an overall recurrence rate of 7 per cent.

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