Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_Operative Treatment._--In aggravated cases, when the patient is
suffering pain, when his occupation is interfered with by repeated
attacks of phlebitis, or when there are large pouches on the veins,
operative treatment is called for. The younger the patient the clearer
is the indication to operate. It may be necessary to operate to enable a
patient to enter one of the public services, even although no symptoms
are present. The presence of an ulcer does not contra-indicate
operation; the ulcer should be excised, and the raw surface covered with
skin grafts, before dealing with the veins.

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