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Primary Varicose Veins : Ligation, Stripping and Excision in 2,000 Patients—A Personal Experience

The long saphenous vein is the finest arterial conduit available in reconstructive vascular surgery. It must be preserved, if at all possible, in the primary treatment of varicose veins. For twenty-five years the author has personally performed more than 2,000 operations for varicose veins. In addition, my former partner, D. J. Mullane, performed more than 2,000 vein ligations and strippings, many of which I have had the opportunity to follow up for years. Technique has improved over the course of time with a long-established and accepted operative procedure. Fewer than 20 % of patients with varicose veins require ablative surgical procedures. Each patient should be evaluated and a course of treatment prescribed. The care of varicose veins in most cases is a lifetime commitment for the patient. It is the obligation of the medical profession not to standardize treatment nor to follow protocols based only on the experience of the practitioner. Patients with primary varicose veins, with incompetence of the long and/or short saphe-