Recurrent varicosis I83.9

The term "recurrent varicosis" refers to the recurrence of varicose veins in a pre-treated venous stream area.

The cause of recurrent varicosis is a polyetiological etiology. These include:

• Recurrent varicosis due to technical-tactical errors such as: overlong saphenous stumps or left doubled or insufficient segments of the Vv. saphenous magna or parva.
• Recurrent varicosis due to progression of the underlying disease
• Recurrent varicosis as a result of a newly developed varicosis (neovascularisation) if the operation was previously carried out correctly.

Recurrent varicosis due to technical-tactical errors: the figures for technically incorrectly operated varices vary between 10% and >60%).

For endovenous laser therapy (ELT) as well as for radiofrequency obliteration, recurrence rates between 0% and 36% are reported. In meta-analyses the average was 10.8%.

For sclerotherapy with foamed agents, recanalization rates of 20% were found in the V.saphena magna or parva after 3 and 5 years, respectively.

1. Hach W et al (1977) Classification of the trunk vrvicosis of V.saphena magna into four stages. Phleb u proctol 6: 16-23
2. Mumme A et al (2002) Saphenofemoral recurrence of the inguinal vein saphena magna: technical error or neovascularization? Phlenology 31: 38-41
3. Noppeney T et al (2010) Rezidivarikose In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 198 -207