[Comparative evaluation of results of corrective surgery of the blood flow in post-phlebitis syndromes of the leg].

Surgical correction of the venous circulation is indicated in about 60 percent of post-phlebitic patients. The immediate and long-term results depend on the duration of the disorder, the site of thrombosis, the extent and nature of the secondary lesions, and on the choice of the method of surgery. Among the different operations proposed, the authors draw particular attention to four, those of Linton, Askar, Cockett, and Palma. It is possible to combine these operations taking into account any special indications. However, the techniques can be improved. The authors present a personal variant to correct the circulation in the leg by ostial ligature (resection of the indirect, muscular, communicating veins) that differs from Linton's method which involves subfascial ligature of the direct communicating veins. The results of Palma's crossed sapheno-femoral operation can be improved by anastomosing end-to-end the subcutaneous vein and the proximal end of either the deep or the superficial femoral vein. In patients with torpid, calloused ulcers ligature of the communicating veins by Cockett's method must be associated with subcutaneous removal of the sclerous base of the ulcer by the method of R. P. Askerkhanov.