[Varicothrombophlebitis of the lower limbs. Medical or surgical therapy?]

The aetiopathogenesis of varicothrombophlebitis and its frequency in terms of age and sex are examined in the light of the leading discussions in the literature. The prevention and treatment of its main complications are also discussed. Clinical and statistical data drawn from a personal series collected over a period of about 8 yr are presented. A personal opinion is expressed on the question of treatment. It is felt that the steps taken in any given situation will depend on the extent of the process. Immediate surgery (extended preventive crossectomy, or radical management of thrombotic varices) must be accompanied by suitable general and local medical management.