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[ACTUAL STRATEGY OF TREATMENT VARICOSE VEINS RECURRENCE AFTER ENDOVENOUS INTERVENTIONS].

A Chernookov¹, V Ramishvili², S Dolgov³

¹1Moscow State University of Food Production, Department of Damage Sorgery; 2Center of Phlebology, Moscow; Russian Federation.

Georgian Medical News

|June 9, 2021

Summary

Recurrent varicose veins after endovenous treatment require tailored surgical tactics. Minimally invasive methods significantly improve patient quality of life, with notable gains in psychological well-being and pain reduction.

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Area of Science:

Vascular Surgery
Phlebology
Minimally Invasive Procedures

Background:

Varicose vein recurrence after endovenous interventions presents a clinical challenge.
Optimizing treatment strategies for recurrent varicose veins is crucial for patient outcomes.

Purpose of the Study:

To evaluate surgical treatment tactics for recurrent varicose veins post-endovenous interventions.
To assess early and long-term results, including quality of life, following treatment for recurrent varicose veins.

Main Methods:

Retrospective analysis of 84 patients with recurrent varicose veins.
Treatment modalities included crossectomy, endovenous laser coagulation, stripping, echosclerotherapy, and ligation of perforating veins.
Duplex angioscanning guided treatment selection based on recurrence source and vein characteristics.

Main Results:

Early complications occurred in 22.6% of patients, primarily hyperpigmentation and neurological issues.
Long-term follow-up (1-3 years) in 97.6% of patients showed one recurrence due to neovasculogenesis, treated successfully.
Quality of life, assessed by CIVIQ2, improved by 35.6-48.8%, with significant gains in psychological and pain factors.

Conclusions:

A differentiated approach, considering individual disease characteristics, is essential for managing recurrent varicose veins.
Minimally invasive techniques are effective and justified for treating recurrent varicose veins.
Improved quality of life is a key outcome of successful treatment for recurrent varicose veins.