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Year : 2021  |  Volume : 27  |  Issue : 2  |  Page : 146-147

Recurrent varicose veins - Radiological and operative profile from a tertiary care centre

Department of General Surgery, Government Medical College, Trivandrum, Kerala, India

Correspondence Address:
Dr. Anil Sundaram
Department of General Surgery, Government Medical College, Trivandrum - 695 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_43_21

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Background: Recurrent varicose vein (RVV) still remains a complex, debilitating, common clinical condition despite the advances in imaging technology and operative techniques. The prevalence of developing recurrence ranges from 5% to 65% over a time period of 5–15 years. Aim: The aim of the study is to identify the radiological patterns and operative profile leading to RVV. Materials and Methods: Twenty-eight patients were included in our study who presented with RVV from 1 January 2019 to 1 January 2021. Results: Recurrence was identified in 19 patients post-Trendelenburg (TBG) procedure and perforator ligation, 5 patients post-TBG and stripping above knee, 3 patients post-TBG and sclerotherapy for perforators and 1 case post-endovenous LASER therapy. RVV developed in a time span from 1 to 15 years. Conclusion: TBG along with just perforator ligation has high chance of recurrence, and thorough knowledge regarding the tributaries and anomalous connections at saphenofemoral junction is of utmost importance in primary surgical management of varicose veins.

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