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Chronic venous insufficiency occurs when the leg veins do not allow blood to travel back to the heart. Problems with valves in the veins can cause the blood to flow both directions, not just toward the heart. Symptoms of chronic venous insufficiency may include: Swelling in legs, painful legs, pain,  brown-colored skin, varicose veins or leg ulcers. 

 Treatment: 

  • Sclerotherapy. For patients whose condition is more advanced, sclerotherapy may be prescribed.
  • Surgical procedures are: 
  1. Ligation. This procedure involves tying off an affected vein so that blood no longer flows through it. 
  1. Surgical repair. A vein may be surgically repaired, either through an open incision or with the use of a long catheter. 
  1. Vein transplant. This involves transplanting a healthy vein from another body area
  1. Subfascial endoscopic perforator surgery. A minimally-invasive procedure performed with an endoscope. The perforator veins are clipped and tied off. 

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