Interní Med. 2008; 10(7): 340-344

Recurrence of varices of lower extremities

doc. MUDr. Jiří Herman CSc
I. chirurgická klinika LF UP a FN Olomouc

Varices of lower extremities affect more than 55 % of men and 78 % of women. A large number of patients undergo surgical treatment that is associated with a high percentage of recurrence. The main cause of recurrence is usually a reflux left in saphenofemoral or saphenopopliteal junction. The basics of further therapeutic approach is ultrasound of venous system of involved extremity and in the case of reflux from deep to superficial venous system, the surgical treatment should be indicated. If there is no reflux or after its surgical cure, compressive sclerotisation or medical and compressive therapy may be indicated individually or in combination. Even in these cases complications caused by progression of the disease may occur.

Keywords: Key words: varices of lower extremities, recurrence.

Published: October 1, 2008  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Herman J. Recurrence of varices of lower extremities. Interní Med. 2008;10(7):340-344.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Abramson JH, et al. The epidemiology of varicose veins - A survey of Western Jerusalem. J Epidemiol Community Health, 1981; 35: 213-217. Go to original source... Go to PubMed...
    2. Bradbury AW, et al. Recurrent varicose veins: correlation between preoperative clinical and hand - held Doppler ultrasonographic examination, and anatomical findings at surgery. Br J Surg 1993; 80: 849 - 851. Go to original source... Go to PubMed...
    3. Coleridge - Smith PD. The management of chronic venous disorders of the leg: an evidence - based report of an international task force. Phlebology, 14, 1999; Suppl. 1: 66-105.
    4. Egan B, et al. Neovascularization: An, ,innocent bystander" in recurrent varicose veins. J Vasc Surg 2006, 44 (6): 1279-1284. Go to original source... Go to PubMed...
    5. Haeger K. Technique of high ligation of the long saphenous vein, an analysis of 54 reoperation cases. Acta chir scand, 122, 1961: 85-92. Go to PubMed...
    6. Hartman K, Klode J, Pfister R, et al. Recurrent varicose veins: sonography-based reexamination of 210 patients 14 years after ligation and saphenous vein striping. Vasa 2006; 35 (1): 21-26. Go to original source... Go to PubMed...
    7. Herman J, a kol. Chirurgie varixů dolních končetin. Grada Publishing a. s, 1. vyd. Praha 2003: 200 s.
    8. Herman J, Musil D, Duda M. Varices cruris recidivans - causes and therapy. Prakt flebol 2004; 13: 132-135.
    9. Hobbs J. Surgery and sclerotherapy in the treatment of varicose veins. A random trial. Arch Sur 1974; 109: 793-796. Go to original source... Go to PubMed...
    10. Kašpar S, Daněk T, Maixner R. Recidivující varixy - stále aktuální problém. Prakt flebol XI, 2002; 4: 102-103.
    11. Kašpar S, Daněk T, Stiegler P. Revize safenofemorální junkce v léčbě recidiv varixů. Prakt flebol 7, 1998; 1: 14-15.
    12. Musil D. Žilní insuficience - od etiologie ke kazuistikám. Medicína pro praxi 2006; 1: 6-11.
    13. Musil D, a kol. Ultrazvukové vyšetření žil dolních končetin. Grada Publishing a. s., 1. vyd., Praha 2008; 152 s.
    14. Musil D, Herman J. Přínos barevné duplexní ultrasonografie k předoperačnímu vyšetření nemocných s chronickou žilní insuficencí. Vnitř lék 47, 2001; 4: 227-231.
    15. Perrin MR, et al. Recurrent varices after surgery (REVAS), a consensus statement. Cardiovasc Surg 2000; 8: 233-245. Go to PubMed...
    16. Stücker M et al. Histomorphologic classification of recurrent saphenofemoral reflux. J Vasc Surg 2004; 39: 816-822. Go to original source... Go to PubMed...
    17. Veverkova L, Kalac J, Capov I, Wechsler J, Pac L, Svizenska I, Pitr V. Laser-tissue interaction in endovenous laser treatment. Bratisl Lek Listy 2006; 107 (6-7): 231-234. Go to PubMed...
    18. Veverková L, Kalač J, Kašpar M, Pecháček V, Štěpánek P. Varikozity v povodí vena saphena parva. Lékařské listy 2004; 50: 20.

    Return to the content


    Internal Medicine for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.