[Limitation of surgical indications in postoperative recurrence of varicose veins]

Varicose disorders develop further after sclerotherapy when there is clear saphenous valvular incompetence, or when the surgical operation has been too limited, or faulty. Further surgery in these cases is simple and not dangerous, and clearly brings the same results as complete initial surgery. But about 1% of the patients undergoing correct and complete surgery relapse without there being any valid explanation for the venous redevelopment whose causes we have analysed. Their cure is difficult, is more dangerous, and less satisfactory results are obtained, partly because the surface area is harder to work with. In developed forms, there is no less need of the cure, combined with rigorous checks for the sclerosis of all residual veins and the treatment of associated disfiguration by the phlebologist and general practitioner. It's only in this way that we can hope for more or less satisfactory stability in these forms.