Great saphenous vein (GSV) reflux is the most common underlying cause of symptomatic varicose veins.
How to manage GSV reflux?
Traditional treatment of GSV reflux was surgical removal of the GSV. Tributary varicosities require multiple phlebectomy or follow-up treatment with sclerotherapy. Although surgical ligation and stripping of the GSV was the most dependable treatment, it is associated with significant perioperative morbidity.