Abstract
It has been forty-five years since Trendelenburg 1 (1891) reemphasized the most important factor concerned in the disturbance in function of varicose veins of the lower extremity. In this paper he demonstrated incompetence of the valves of the internal saphenous vein and the reversal of circulation that results, i. e., the peripheral flow of blood in the superficial venous system. Moreover, he popularized an operation 2 which is the most direct attack on the physiopathologic factor, namely, ligation and section of the long saphenous vein to prevent the blood from spilling from above through the saphenous vein into the varicosities. The good results he obtained with this operation in a large series of cases were later reported by Perthes. 3 Since that time much has been added to the knowledge of individual methods and combinations of methods for the treatment of varicose veins, and the problem has been shown to
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