Many patients have not been treated again after recurrence, thinking that they will recur after treatment. What should I do if my varicose veins have recurred after surgery? Once a varicose vein recurs, the main thing is to clarify what caused the recurrence and then provide targeted treatment. If the recurrence is due to the minimally invasive surgery but the trunk vessels were not completely removed, the recurrence will require a second surgery to completely remove the trunk vessels. If the recurrence is not serious and there is only a little bit of varicose blood vessel, you can take medicine + wear elastic stockings to improve the symptoms, or you can take a minimally invasive way to close off the branch of varicose. What are the possible effects on the patient if the recurrence is not treated? Regardless of which surgical procedure was adopted in the previous treatment, the blood vessels will be changed, and after the varicose veins recur again, the blood flow may be even less smooth, and the metabolic waste and toxins in the blood will not be excreted completely, and they will easily accumulate in the blood vessels, forming thrombosis in the legs, pigmentation, ulcers, eczema, and skin sclerosis on the skin surface of the calves, and the skin of the calves will be itchy, and some of them will have ruptures. The skin of the calf will be itchy and some of them will produce a rupture, and this rupture will not love to heal, and in serious cases it will lead to old rotten leg, the whole calf skin will be ulcerated and even need to be amputated. If treatment, which treatment should be chosen? If it is another varicose vein of lower limb, which surgery should be chosen? First of all, we have to go to the hospital to make a clear diagnosis and see if the first surgery is complete or not. If the first surgery is complete, but the risk of varicose veins is higher because of the work itself, and the other lower limb vein (small saphenous vein) is varicose again, this is a reoccurring varicose vein. If the deep vein is not a problem, it can be treated with the same surgical procedure as the great saphenous vein or a combined surgical procedure. If the varicose veins are small in the lower leg, which procedure should I choose? If it is because of some residual veins from the first surgery, the residual small vessels can be closed again by high frequency ablation and sclerotherapy. What should I do if the varicose veins from the last surgery have reoccurred? This is strictly a recurrence and requires further ultrasound and CTV (CT venography) to clarify the cause of the recurrence. If the trunk vessels are not treated or not treated thoroughly, a trunk stripping procedure is required. If the closure of the traffic branches in the lower leg is incomplete, these traffic branches can be closed or ligated or stripped surgically, and the traffic branch problem can be solved in a minimally invasive way. If the cause is misdiagnosed, including KT syndrome, deep venous valve insufficiency, post-thrombotic syndrome, suspensory varicose vein or Buga syndrome, a clear diagnosis is needed and appropriate treatment measures are taken for the cause. Will the way the last surgery was performed affect the results of the second surgery? For example, can some patients who had a sclerotherapy injection the first time still have surgery after a recurrence? After the first surgery, whether it is vein stripping or minimally invasive surgery, the structure of the blood vessels must have changed, which has a very significant impact on the second surgery. If a patient has a recurrence after a minimally invasive surgery, a CTV test should be done to see if the main vessel was not treated cleanly or if it is a problem with a traffic branch, after which it will be targeted to completely solve the recurrence problem. If the patient had radiofrequency or laser surgery to close the saphenous vein for the first time, then the recurrence must be due to the fact that part of the saphenous vein has not been closed yet. In this case, the saphenous vein needs to be stripped out during the surgery again, but usually the saphenous vein is intermittent, with one section open and one section closed, which affects the effect of the second surgery. If the patient was injected with a sclerosing agent the first time, the second surgery can be performed by stripping the saphenous vein completely. Will it recur after the second surgery? Is there a radical cure for varicose veins? Or a way to reduce the chance of recurrence? After secondary surgery, varicose veins can recur, but there are several different surgical procedures that can be performed in combination, such as minimally invasive stripping and high frequency ablation, high saphenous vein ligation + laser treatment, etc., to minimize the trauma to the patient and reduce the chance of recurrence, while achieving a quick recovery. What kind of procedure is minimally invasive high frequency ablation? What are the advantages and disadvantages compared to other surgical methods? Minimally invasive stripping and high frequency ablation is a combined surgical procedure in which the saphenous vein is completely removed and the blood vessels in the severe areas of varicose veins are also stripped away. However, this surgery is a little more painful than the minimally invasive surgery and the recovery is a little slower after the surgery. Generally, you can be discharged from the hospital even one day after the surgery.