Relapse of varicose veins. Causes, treatment and prevention of recurrence of varicose veins of the lower extremities

The content of the article:

  1. What is a relapse of varicose veins
  2. Reasons for relapse of varicose veins
  3. Treatment of relapse of varicose veins
  4. How to prevent relapse of varicose veins. Relapse prevention.
  5. Conclusion. On the issue of relapses of varicose veins.
  6. Patient questions about the recurrence of varicose veins of the lower extremities

What is a relapse of varicose veins

 

Relapse of varicose veins is the appearance of varicose veins on a previously operated limb, regardless of the time that has passed since the operation.

Relapse of varicose veins in a patient 3 years after surgery

Relapse of varicose veins in a patient 3 years after surgery

 

In this article, I will talk about recurrent varicose veins and answer some of the most frequently asked questions. 

Reasons for relapse of varicose veins

 

The factors that lead to the recurrence of chronic venous disease are difficult to identify and manage. Varicose veins can recur for a variety of reasons. We list the main reasons for the recurrence of varicose veins:

Heredity

The most common reason is that people suffering from varicose veins often have a family history of varicose veins. A family history quite often speaks of a hereditary predisposition and increases the risk of further development of varicose veins, even after modern treatment with the best specialists. With unfavorable heredity, the development of relapse of varicose veins is associated with the progress of venous pathology. In some patients, a relapse of varicose veins develops in several venous basins at once.

Neovasularization (neovasculogenesis)

This term describes the growth of tiny branches of veins between deep veins and remnants of former varicose veins. This process can occur after a surgical operation to remove varicose veins in the groin area, the zone of the saphenofemoral anastomosis. The reason is currently unknown to official science. But already today, a sufficient number of authoritative studies suggests that the development of neovasculogenesis is more characteristic of classical vein surgery.

 Neovasculogenesis (relapse) after classical phlebectomy

Neovasculogenesis (relapse) after classical phlebectomy

 

Neovascularization significantly complicates the treatment of relapse of varicose veins: the vessels are very thin-walled and convoluted, often present in significant numbers. grow in scar tissue after a previous operation. Despite the difficulties, treatment is possible. At the Moscow Center for Phlebology, we use the latest 1940 nm laser to remove veins resulting from neovasculogenesis. We also use echopenic sclerobliteration in the treatment of recurrent viral disease. High professionalism and modern equipment allows you to get good results even in very difficult situations.

Incomplete removal of veins during surgery

The operation may not be performed professionally or outdated techniques may be used. It is no secret that the use of classic surgical procedures is associated with a high failure rate.

 Relapse of varicose veins with the development of trophic eczema

Relapse of varicose veins with the development of trophic eczema

 

Visualization of the target veins through the surgical wound, the absence of ultrasound - quite often leads to incomplete removal of varicose veins. Treatments such as stem compression sclerotherapy also have their drawbacks. First of all, this is a higher percentage of early relapses. The reason here lies in the frequent recanalization of the treated veins after the procedure. That is, the vein returns to its original state after the invasive procedure. It is this factor, a large number of relapses, that led to the refusal of the leading phlebologists in Moscow from stem sclerotherapy of varicose veins.

Spread of recurrent varicose veins

Estimates vary, but the likelihood of recurrence of varicose veins increases progressively over time. Recurrent varicose veins are quite common and occur in every fifth (20%) patient within five years after surgery. Therefore, it is so important to visit a phlebologist for preventive purposes once a year or two.

Treatment of relapse of varicose veins

 

Treatment of relapse of varicose veins is carried out using minimally invasive technologies: laser obliteration, miniflebectomy and sclerobliteration. The surgical treatment of relapse of varicose veins must be approached with special attention. At the Medical Innovative Phlebology Center, we perform a thorough duplex ultrasound scan before reoperation.

 Ultrasound diagnostics of relapse of varicose veins

Ultrasound diagnostics of relapse of varicose veins

 

This study accurately identifies the vein problem and provides us with detailed information to help us plan your surgery. We discuss this plan in detail with patients before the intervention. Modern minimally invasive technologies make the treatment process completely outpatient and quite comfortable. Skin incisions in our practice have completely disappeared, only small skin punctures that do not leave scars.

Difficulties in the treatment of relapse of varicose veins

Treatment of relapse of varicose veins is one of the most difficult tasks of modern phlebology. Neovasculogenesis, anatomical and topographic changes in venous vessels after interventions, a large number of atypical varicose veins, these are only a small part of the difficulties that a doctor has to face with a relapse of varicose veins. Modern endovascular technologies, in fact, can solve any problems of varicose veins. However, to realize the full potential of modern technologies, a good material and logistical base is required, as well as a certain level of training of specialists. The fact that for some doctors phlebologists is a daily routine, for others it is insurmountable difficulties.

How painful is the treatment of relapse of varicose veins

The treatment takes place on an outpatient basis and is practically painless. The patient can feel the first puncture of the skin for anesthesia, and nothing more. After classical surgery, there is always a certain pain in the area of ​​intervention. Endovascular technologies are free from this disadvantage. There may be some discomfort, but it goes away quickly. Most patients feel comfortable and can return to their normal activities the next day.

 Laser treatment of relapses of varicose veins

Laser treatment of relapses of varicose veins

 

In the places of manipulation, small bruises will be determined, which quickly dissolve.

How to prevent relapse of varicose veins. Relapse prevention.

 

  • Try to lose weight if you are overweight. The increase in body weight increases the load on the veins.
  • Exercise regularly can help your calf muscles pump blood through your veins.
  • Avoid standing and sitting for extended periods.
  • Quit smoking; smoking has a negative effect on the vascular wall, and it will be better for your overall health if you quit smoking.
  • Wear compression stockings with significant and prolonged stress on the lower extremities.
  • Treat varicose veins with experienced specialists who own modern minimally invasive technologies. This can greatly reduce the likelihood of relapse of varicose veins.

 Conclusion. On the issue of relapses of varicose veins.

 

Predicting and preventing recurrence of varicose veins is a difficult task in the management of modern chronic diseases of the veins of the lower extremities. Despite the available scientific data, the lack of uniformity of hemodynamic inclusion criteria leads to an ambiguous assessment of the true causes of relapse of varicose veins. Modern research indicates the advantage of endovascular technology over classical surgery. Minimally invasive approaches aimed at maximizing intact (healthy) veins and minimizing damage to surrounding tissues have shown a significant reduction in the risk of recurrence. This indicates a significant difference between modern endovascular procedures and legacy surgery. Detailed preoperative hemodynamic assessment, including not only varicose veins, but also changes in the deep vein network, can help reduce the recurrence of varicose veins.

The results of the treatment of relapse of varicose veins in our clinic

The results of the treatment of relapse of varicose veins in our clinic

 

Further research by scientists and practitioners should focus on the hemodynamic and biological basis of chronic venous disease of the lower extremities in order to better understand the physiopathology of recurrence and the strategic steps to prevent it.

Patient questions about the recurrence of varicose veins of the lower extremities

 

How to avoid relapse of varicose veins?

You can reduce the likelihood of relapse of varicose veins in the following ways:

  • Balanced diet, weight control and exercise.
  • Treat varicose veins with experienced specialists.
  • Use of good compression hosiery for prolonged static loads, air travel.

How often does a relapse of varicose veins occur?

In most cases, relapse of varicose veins is the progression of vein disease, which in itself indicates a high relapse rate. Nevertheless, some patients after modern operations can forget about varicose veins for years or even decades.

Why remove varicose veins when they reappear?

The very presence of varicose veins carries a number of risks. These are thrombophlebitis and thrombosis, the development of trophic disorders, as well as the destruction of healthy veins in the affected limb.

Is it possible to avoid relapse of varicose veins?

Theoretically, it is possible to avoid relapse of varicose veins, some patients succeed. At the same time, not all patients after radical treatment are ready for an equally radical change in their lifestyle. Most patients, following a number of basic recommendations, live happily for many years without varicose veins.

Where is the best treatment for relapse of varicose veins?

It is better to treat the relapse of varicose veins in specialized phlebological centers, where there is good experience in solving complex situations associated with vein pathology.