ABSTRACT

The etiology and pathogenesis of recurrent varicose vein disease continues to be a source of debate. Residual disease occurs due to tactical and technical error and was historically believed to be the most common cause of recurrent varicose vein disease. Recurrent veins are usually due to failure of treatment of the underlying source of reflux. Some examples include recurrent varicosities due to recanalization of a refluxing treated saphenous vein or recurrent veins following treatment in a patient with an untreated underlying pelvic source. Recurrent varicose veins may be presented to the clinician in a variety of ways. Patients may notice remaining or new varicosities, or return with recurrent symptoms. When recurrent varicose veins are suspected, it is essential to take a complete history and perform a physical examination. The management of recurrent varicose vein disease is a challenge and is frequently associated with overall reduced patient satisfaction.