[Chronic venous insufficiency and options for modern surgical treatment within the superficial system]

The author describes his experience with the therapy of CVI and informs about the present state of the surgical knowledge about this topic. The classification is based on the last recommendations from Roma (2000, modified CEAP). The surgical therapy of CVI the author has divided into surgery of superficial venous system, surgical therapy of perforators and possibilities of surgical approach in the therapy of deep veins pathology (reflux and obstruction). He emphasizes complex therapy in case of each patient and recommends the use of compressive and medical therapy as permanent and all the life lasting method as the best strategy in this group of patients. Chronic venous insufficiency with its typical several stadium of varicose veins is presently cured with different kinds of surgical therapy. There is growing interest in developing minimally invasive or endovascular techniques for the treatment of varicose veins. The author describes these modern methods and experience from his praxis.