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Abstract
Recurrent varicose veins are the veins which persist after previous operation for varices.
Recurrence after treatment has been reported at a rate of 50% in patients undergoing even well planned and executed primary varicose vein surgery.
The concept of recurring varicose veins has always stimulated discussion among phlebologists. Those who think their treatments are perfect and believe there are no recurrences, only new diseases. Others believe that recurrence demonstrate a disease process that can only be temporarily suppressed, no matter how completely treated at the time.
Four main reasons for recurrence are identified:
a) Insufficient understanding of venous anatomy and hemodynamic; b) Inadequate preoperative assessment;
c) Incorrect or insufficient surgery; d) Development of new locations of superficial to deep insufficiency.
Patients with recurrent varicose veins need care and skill with diagnosis, careful history is taken, involving previous