Introducere: Boala varicoasă a membrelor inferioare are o creştere a incidenţei la nivel mondial în ultimii ani. În pofida faptului că au apărut noi metode de tratament sau au fost modernizate cele vechi rata recidivei postoperatorii a maladiei varicoase rămîne înaltă şi nu are tendinţă spre scădere. Material şi metode: În studiu au fost incluşi 112 persoane (157 membre) operate pentru boala varicoasă a membrelor inferioare. Vîrsta medie constituie 55, 58 ani, femei 68,75% intervalul mediu de examinare faţă de prima intervenţie 82, 23 luni. Toţi pacienţii au fost examinaţi prin duplex. Rezultate: Rata recidivei a constituit 29,29% şi cauzele majore au fost: bont safenian cu reflux persistent 15 (32,6%); insuficienţa perforantelor gambiene 34 (73,19%); insificienţa perforante pe coapsă 25 (54,34%); vena safena magna păstrată 3 (6,5%); neovascolageneza 9 (19,56%); insuficienţa vena safena parva 4 (8,68%). Concluzii: Analizând recidivele bolii varicoase am găsit că principala cauză ar fi fluxul venos prin perforante incompetențe ale gambei, la unul şi acelaşi pacient pot fi depistate mai multe surse de reflux persistent.

Introduction: Venous disease of the lower limbs has an increased incidence worldwide in recent years. Despite the fact that there were new methods of treatment or the old methods were modernized postoperative recurrence rate of varicose disease remains high and has not a tendency to decrease. Material and methods: The study included 112 people (157 limbs) operated for varicose disease of the lower limbs. The average age is 55, 58 years, women 68.75% the average distance of examination to the first intervention 82, 23 months. All patients were examined by duplex. Results: The recurrences rate was 29.29% and major causes were: safenian blunt with persistent reflux 15 (32,6%); insufficient perforators gambiense 34 (73,19%) insufficient thigh perforators 25 (54,34%); magna saphenous vein preserved 3 (6,5%); neovasculogenesis 9 (19,56%); insufficiency saphenous parva vein 4 (8,68%). Conclusions: Analyzing the recurrence of varicose veins I found that the main cause is venous flow by the incompetent calf perforator, at the same patient can be detected more sources of persistent reflux.