What are the causes of recurrence of varicose veins in the lower extremities after surgery? How should they be treated?

Patient: varicose veins in both limbs were obvious. The doctor performed minimally invasive surgery on both extremities in May 2005, but in the past three years, the left lower extremity has recovered well, but the bruise on the right lower extremity at the leg belly has not disappeared. Can I ask if there will be more development? Do I need a new surgery? Or is there medication for this? Thank you. Zhu Yunfeng, Department of Vascular Surgery, Changzhou First People’s Hospital: Whether varicose veins in lower limbs will recur after surgery depends on many factors, generally combined with deep venous insufficiency of lower limbs is easy to recur, and those who still can’t protect the venous function of lower limbs after surgery, such as long-term standing, weight bearing, habitual constipation, etc. are also easy to recur. After recurrence, you can do some local treatment, such as electrocoagulation, injection of sclerosing agent. Drugs cannot cure varicose veins, but can only improve some symptoms caused by varicose veins.