Original communication Society for Vascular Surgery| Volume 26, ISSUE 1, P8-15, July 1949

The management of recovery from venous thrombosis in the lower limbs

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      Experience with cases of early quiet thrombosis (phlebothrombosis) treated by vein interruption or by anticoagulation indicates that:
      • 1.
        1. The consistent use of gravity drainage, graded exercises, bandaging, and the proper balance between dependency and elevation is of advantage in establishing a permanently efficient collateral venous return from the lower limbs, and is especially required after an extensive thrombosis.
      • 2.
        2. The connections of the deep (profunda) with the superficial femoral vein are usually intimate and occasionally the two systems are practically one, but the combined systems have unsatisfactory collateral connections with higher veins.
      • 3.
        3. The normal deep femoral system of veins may be expected to offer a good collateral pathway as long as the common femoral vein is open, whether or not the common femoral has been invaded by thrombosis.
      • 4.
        4. Surgical obstruction of the common femoral vein necessarily and seriously opposes the establishment of an effective collateral circulation, but may be compensated for by especially prolonged physiotherapeutic measures during the immediate and remote convalescence.
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