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Original communication| Volume 37, ISSUE 4, P622-628, April 1955

Late results of inferior vena cava ligation

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      Abstract

      • 1.
        1. Vena cava ligation will prevent fatal emboli, has satisfactorily been used prophylactically, has prevented extension of ascending phlebitis, corrected one case of thrombophlebitis cerulea dolens, and saved three patients from certain major amputation.
      • 2.
        2. These benefits are gained with the development of undesirable sequelae in the form of edema, ulceration, leg pain, weakness, and occasional gangrene formation in many patients.
      • 3.
        3. Improvement of the thrombophlebitic condition is noted in the bad leg, but the good leg becomes involved with thrombophlebitis at an alarming rate. Preoperative bilateral disease responds with less sequelae than the unilateral.
      • 4.
        4. Postoperative care is important. Anticoagulant therapy and elastic bandage offer the most help. Freedom from the sequelae is not necessarily noted in patients who obey all postoperative instruction.
      • 5.
        5. Any increase in edema, ulceration, leg pain, or weakness after the ligation results from the operation and not from the disease process itself.
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