Recurrent varicosisI83.9
Synonym(s)
Recurrent Varices After Surgery; REVAS
DefinitionThis section has been translated automatically.
The term "recurrent varicosis" refers to the recurrence of varicose veins in a pre-treated venous stream area.
ClassificationThis section has been translated automatically.
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.
Occurrence/EpidemiologyThis section has been translated automatically.
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.
LiteratureThis section has been translated automatically.
- Hach W et al (1977) Classification of the trunk vrvicosis of V.saphena magna into four stages. Phleb u proctol 6: 16-23
- Mumme A et al (2002) Saphenofemoral recurrence of the inguinal vein saphena magna: technical error or neovascularization? Phlenology 31: 38-41
- Noppeney T et al (2010) Rezidivarikose In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 198 -207