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Recurrent varicose veins

M A Wali1, S J Sheehan, M P Colgan

  • 1Department of Surgery, College of Medicine, King Saud University, Abha, Saudi Arabia.

East African Medical Journal
|June 26, 1998
PubMed
Summary
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Recurrent varicose veins affect 18% of patients. Identifying incompetent sites like the sapheno-femoral junction using Duplex scanning is crucial for reducing recurrence rates.

Area of Science:

  • Vascular Surgery
  • Medical Imaging

Background:

  • Varicose vein recurrence rates vary widely, from 7% to 65%.
  • Understanding the causes of recurrent varicose veins is essential for improving treatment outcomes.

Purpose of the Study:

  • To identify common causes of recurrent varicose vein disease.
  • To evaluate the role of Duplex scanning in managing recurrent varicose veins.

Main Methods:

  • A retrospective analysis of 400 operations on 265 patients with varicose vein disease from August to December 1993.
  • Duplex scanning was performed on all patients to identify sites of venous incompetence.
  • Specific attention was paid to incompetent sapheno-femoral junction (SFJ), sapheno-popliteal junction (SPJ), and long saphenous vein (LSV).

Main Results:

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  • 18% of patients (53 patients in 72 limbs) presented with recurrent varicose veins.
  • Incompetence was identified at the SFJ in 52 limbs (31 post-ligation), SPJ in 33 limbs, and LSV in 67 limbs.
  • Minor complications (14%) included thigh paraesthesia; no major complications occurred.

Conclusions:

  • Common causes of recurrent varicose veins were identified.
  • Duplex scanning is essential for diagnosing and managing recurrent varicose vein disease.
  • Implementing these findings can potentially reduce the incidence of varicose vein recurrence.