Anterior Accessory Great Saphenous Vein: Common Cause of Recurrent Varicose Veins

Background: Varicose veins are a prevalent vascular condition affecting a significant portion of the population. Recurrenceafter surgical treatment is a common concern. often attributed to the presence of an incompetent anterior accessory greatsaphenous vein (AAGSV). This research elucidated and evaluated the impact of AAGSV reflux as a significant cause ofrecurrent varicose veins in the lower limbs.Patients and Methods: This observational, retrospective study analyzed 80 patients with varicose. Preoperative duplexultrasound, clinical examination, and demographic data were collected. Patients underwent various treatment modalities,and recurrence rates, sites, and associated symptoms were evaluated.Results: The mean age was 43.4 ±9.59 years, with a higher proportion of females (61.25%). Preoperatively, 65% hadanterior saphenous vein involvement, with a mean diameter of 4.4±1.25 mm. The most common site of recurrence wasthe AAGSV (37.5%), followed by the great saphenous vein (21.25%). The mean time to recurrence was 2.4±0.76 years,with symptoms like visible varicosities (88.75%), edema (31.25%), and pain (27.5%). Procedures after recurrence werepredominantly Endovenous laser ablation (71.25%), followed by surgery (26.25%) and radiofrequency ablation (2.5%).Conclusions: The AAGSV significantly contributes to recurrent varicose veins, emphasizing the importance ofcomprehensive preoperative assessment and appropriate treatment to improve patient outcomes.