A review of a new Dutch guideline for management of recurrent varicose veins

作者：Lawson James A^*; Toonder Irwin M

来源：Phlebology, 2016, 31(1_suppl): 114-124.

DOI：10.1177/0268355516631683

• Recurrent varicose veins
• recurrence
• neovarices
• neovascularisation
• chronic venous insufficiency
• guidelines
• redo surgery
• endovenous
• saphenofemoral junction
• foam sclerotherapy
• ambulatory phlebectomy

In 2013, the new Dutch guideline for Venous Pathology was published. The guideline was a revision and update from the guideline Diagnostics and Treatment of Varicose Veins from 2009 and the guideline Venous Ulcer from 2005. A guideline for Deep Venous Pathology and one for Compression Therapy was added to the overall guideline Venous Pathology. The chapter about treatment of recurrent varicose veins after initial intervention was recently updated in 2015 and is reviewed here. The Dutch term recidief varices or the French recidive de varices should be used analogous to the English term recurrent varicose veins. The DCOP Guideline Development Group Neovarices concluded that recidief in Dutch actually suggests recurrence after apparent successful treatment and ignores the natural progression of venous disease in its own right. So the group opted to use the term neovarices. In the Dutch guideline, neovarices is meant to be an all embracing term for recurrent varicose veins caused by technical or tactical failure, evolvement from residual refluxing veins or natural progression of varicose vein disease at different locations of the treated leg after intervention. This report reviews the most important issues in the treatment of varicose vein recurrence, and discusses conclusions and recommendations of the Dutch Neovarices Guideline Committee.

• 出版日期2016-3