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The authors report their experience of external saphena surgery and they explain the results obtained for the treatment of varicose lower limb disease. They emphasize the importance of the global treatment of the superficial venous circle in preventing relapses; moreover, they point out the technical execution difficulties of the posterior stripping as a consequence of the strict connections of proximity among venous vessels and nerves of the posterior region of the leg. They offer as well some notes on surgical technique.

From 1982 to 1990, in our Surgical General Department, we have replaced the traditional technique of inguinal hernia with Shouldice's method. This choice was treatment of the following considerations: few relapses happen compared to traditional operations.