oa South African Medical Journal - The cure of varicose veins : sclerosant or no sclerosant - that is the question!



The published opinions regarding the use of sclerosing therapy in the obliteration of varicosity of the great and small saphenous veins are reviewed. The success attending injection of sclerosants or operation with retrograde instillation of such media is revealed to be problematical and the execution of such injections or operations fraught with danger to life or limb. On the basis of 384 multiple-resection operations with minor post-operative disability, no recurrence and no mortality even in the aged, the writer is impelled to the conclusion that this procedure is the method of choice for permanent obliteration of varicosities.


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