Recurrent Varicose Veins
Varicose veins are a progressive condition and new veins appear
after any type of treatment. Sometimes they reappear as early
recurrence when the correct source of varicose veins had not
been treated initially or small veins were missed as often
happens during a standard surgical procedure. But usually, the
blood is redirected into other veins as the damaged varicose
veins are removed and these may become varicose over the
years.
Following varicose vein surgery involving the groin, newer
communications occur within the wound in the groin called
neovascularisation and that leads to development of varicose
veins. Repeated procedures involving groin wound can lead to
complications. Communications can also appear between deep
and superficial veins by connecting veins called the perforators
that are only visible on a duplex ultrasound scan. Studies report
a 60% recurrence following ligation and stripping and 15% after
the new minimally invasive EndoVenous procedures. They also
avoid initial and repeated groin injury that can lead to
complications.
It is vital to be assessed by a vascular surgeon and a duplex
ultrasound scan before planning a procedure for treatment of
recurrent varicose veins.
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