الفهرس 
Anatomy of venous drainage of the lower limbOnly 14 pages are availabe for public view
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Abstract
Varicose veins are a common disease affecting a large scale of population.
Surgical treatment that included ligation and stripping of varicose veins was considered until the last decade to be sufficient treatment of the disease.
Recent endovenous treatment and chemical ablation methods have challenged surgery in the treatment of varicose veins.
Recurrent varicose veins occur in patients following surgical treatment is considered a debilitating and costly problem.
In this study, 45 patients whom were subjected to surgical treatment of varicose veins were clinically and investigatory evaluated to detect the incidence and time of recurrence, system affected or the site, the cause, type of surgery and proper management. Pain, cosmetic appearance and leg heaviness were the most common complaints of the patients.
Surgical striping of veins, sapheno-femoral ligation and triple ligation with punchectomy were the surgical procedure done for these patients.
Duplex scanning is currently the gold standerd in pre-operative assessment and suggested for all varicose vein surgery.
Advantages of duplex scanning are that it is noninvasive, repeatable, reproducible, reliable and objective during follow up. There is no way of guaranteeing that varicose veins don’t recure following surgery. Recurrence was subjected to be due to: True recurrent varices due to neovascularization or disease progression or residual veins due to technical error in surgery. However, the pattern of recurrence of varicose vein in our study respect to its duration to develop due to inadequate or incomplete surgical teqnique, the risk may be reduced through, accurate surgery performed in a special unit and based on the result of pre-operative duplex ultrasound scan where appropriate simple measure may help to prevent new veins as regular exercise, maintain normal weight and wearing support stockings if one job involves a lot of standing.
Conservative management of most of them in form of elastic stoking and venotropics were sufficient to relieve symptoms in most of the patients.
The rest of patients showed relieve of symptoms by other modalities of treatment including injection sclerotherapy, re-surgery or combined method.