Skip to main content

Recurrent Varicose Veins

  • Chapter
  • First Online:
Chronic Venous Disorders of the Lower Limbs
  • 1298 Accesses

Abstract

Recurrence of varicose veins after surgery is a common problem. Many surgeons have a pessimistic view on the outcome of surgery for varicose veins and consider recurrence inevitable. The problem is confounded by the inability to clearly define recurrence. Variations in the definition of recurrent varicose veins result from the multiple modalities of interventions employed for the initial treatment of chronic venous disorders (CVD). To streamline these issues, an international consensus meeting was held in Paris in 1998 to provide guidelines for the definition and management of recurrent varicose veins after surgery (REVAS).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Perrin M. Recurrent varicose veins: etiology and management. In: Gloviczki P, editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 446–56.

    Google Scholar 

  2. van Rij AM, Jian GP, Solomon C, Christie RA, Hills GB. Recurrence after varicose vein surgery: a prospective long term clinical study with duplex ultrasound scanning and air plethysmography. J Vasc Surg. 2003;38:935–43.

    Article  PubMed  Google Scholar 

  3. Mc Collum P, Chetter I. Venous disorders. In: Williams NS, Bulstrode JK, O’Donnel PR, editors. Bailey & Love’s short practice of surgery. 26th ed. Boca Raton: CRC Press; 2013. p. 901–22.

    Google Scholar 

  4. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczki ML, Lohr JM, Mc Lafferty RB, Meissner MH, Murad MH, Padberg FT, Pappas PJ, Passman MA, Raffeto JD, Vasquez MA, Wakefield TW. The care of patient with varicose veins and associated chronic venous diseases: clinical practice guidelines of the society for vascular surgery and the American Venous Forum. J Vasc Surg. 2011;53(5 suppl):2s–48.

    Article  PubMed  Google Scholar 

  5. Kostas T, Loannou CV, Toulouopakis E, Daskalaki E, Giannoukas AD, Katsamouris AN. Recurrent varicose veins after surgery: a new appraisal of a common and complex problem in vascular surgery. Eur J Vasc Endovasc Surg. 2004;27:275–82.

    PubMed  CAS  Google Scholar 

  6. Merchant RF, Pichot O, Closure study group. Long term outcomes of endovenous radiofrequency obliteration of saphenofemoral reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 2005;42:502–9.

    Article  PubMed  Google Scholar 

  7. Eklof B, Perrin M, Delis KT, Rutherford RB, Gloviczki P. Updated terminology of chronic venous disorders: the VEIN – TERM transatlantic interdisciplinary consensus document. J Vasc Surg. 2009;49:498–501.

    Article  PubMed  Google Scholar 

  8. Jones L, Braithwaite BD, Selwyn D, Cooke S, Earnshaw JJ. Neovascularisation is the principal cause of varicose vein recurrence; results of a randomized trial of stripping the long saphenous vein. Eur J Vasc Endovasc Surg. 1996;12:442–5.

    Article  PubMed  CAS  Google Scholar 

  9. van Rij AM, Jones GT, Hill GB, Jiang P. Neovascularisation and recurrent varicose veins: more histologic and ultrasound evidence. J Vasc Surg. 2004;40:296–302.

    Article  PubMed  Google Scholar 

  10. Labropoulos N, Bhatti A, Leon L, Borge M, Rodriguez H, Kalman P. Neovascularisation after great saphenous ablation. Eur J Vasc Endovasc Surg. 2006;31:219–22.

    Article  PubMed  CAS  Google Scholar 

  11. De Maeseneer M. Neovascularisation: An adverse response to proper groin dissection. In: Bergan JJ, editor. Vein book. Amsterdam: Elsevier; 2007. p. 239–46.

    Chapter  Google Scholar 

  12. Fischer R, Linde N, Duff C, Jeanneret C, Chandler JG, Seeber P. Late recurrent saphenofemoral reflux after ligation and stripping of the great saphenous vein. J Vasc Surg. 2001;34:236–40.

    Article  PubMed  CAS  Google Scholar 

  13. Stonebridge PA, Chalmers N, Beggs I, Bradbury W, Ruckley CV. Recurrent varicose veins: a varicographic analysis leading to a new practical classification. Br J Surg. 1995;82(1):60–2.

    Article  PubMed  CAS  Google Scholar 

  14. Perrin M, Lapropoulos N, Leon LR. Presentation of the patient with recurrent varices after surgery (REVAS). J Vasc Surg. 2006;43:327–34.

    Article  PubMed  Google Scholar 

  15. Luke JC. The management of recurrent varicose veins. Surgery. 1954;35:40–4.

    PubMed  CAS  Google Scholar 

  16. Lofgren KA, Myers TT, Wilson DW. Recurrent varicose veins. Surg Gynecol Obstet. 1976;102:729–36.

    Google Scholar 

  17. Dodd H, Cockett FB. Pathology and surgery of veins of the lower limbs. 2nd ed. Edinburgh: Churchill Livingstone; 1976.

    Google Scholar 

  18. Greaney MG, Makin GS. Operation for recurrent saphenofemoral incompetence using a medial approach to the saphenofemoral junction. Br J Surg. 1985;72:910–1.

    Article  PubMed  CAS  Google Scholar 

  19. De Maeseneer MG, Vandenbroeck CP, Van Schil PE. Silicone patch saphenoplasty to prevent repeat recurrence after surgery to treat recurrent saphenofemoral incompetence: long term follow up study. J Vasc Surg. 2004;40:98–105.

    Article  PubMed  Google Scholar 

  20. van Groenendael L, van der Vliet JA, Flinkenflogel IL, Roovers EA, van Sterkenburg SM, Rejinen MM. Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation. J Vasc Surg. 2009;50:1106–13.

    Article  PubMed  Google Scholar 

  21. Creton D, Uhl JF. Foam sclerotherapy combined with surgical treatment for recurrent varicose veins: short term results. Eur J Vasc Endovasc Surg. 2007;33:619–24.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pradeep Jacob .

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer India

About this chapter

Cite this chapter

Jacob, P. (2015). Recurrent Varicose Veins. In: Chronic Venous Disorders of the Lower Limbs. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1991-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-1991-0_10

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-1990-3

  • Online ISBN: 978-81-322-1991-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics