Patient characteristics and physician-determined variables affecting saphenofemoral reflux recurrence after ligation and stripping of the great saphenous vein

Abstract

The findings suggest that ultrasound groin mapping, reticence for short suprainguinal or longer groin incisions and extended stripping, and counseling women about the effect of future pregnancy are prudent clinical choices, especially for obese or previously parous patients.

Impact of radiofrequency ablation for patients with varicose veins on the budget of the German statutory health insurance system

“…Since about 85% of the German population is covered by the SHI [48], the model calculation is in line with the estimation of Nüllen et al Furthermore, based on the recurrence rates used in the Base Case, our model calculated 248,200 initial surgery procedures which accounts for a proportion of 80.5 percent of all surgery procedures. These results agree with findings in the literature that recurrence treatments account for about 20% [49-53] of all surgery treatments for varicose veins.…”

“…Noppeney et al distinguish between three causes of recurrent varices: technical failure of the initial treatment, neovascularisation and progression of the venous disease [55]. About 20% of varicose surgeries are attributed to recurrences [49-53]. Differences in the initial treatment, the method of measuring recurrences and duration of follow-up make a comparison of recurrence rates difficult [56].…”

Five-year results of a randomized clinical trial of conventional surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy in patients with great saphenous varicose veins

“…It is clear that, irrespective of the technique employed to treat varicose veins, progression of disease cannot be stopped in the long term. Genetic predisposition and other patient‐related factors (such as body mass index of 30 kg/m 2 or above, pregnancy after the intervention) certainly play a role. After several years, tortuous neovascular veins or (newly) refluxing veins at the SFJ may connect with the AASV or superficial refluxing tributaries of the thigh or leg, resulting in clinically obvious recurrent varicose veins.…”

Retrospective evaluation of the need of a redo surgery at the groin for the surgical treatment of varicose vein

“…[1][2][3][4][5][6][7] Nevertheless, surgical treatment for varicose recurrence (STVR) represents about 20% of surgical varices treatment, [8][9][10][11] making it a common procedure for a vascular surgeon.…”