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=== Investigations === {{See|Ultrasonography of chronic insufficiency of the legs}} Traditionally, varicose veins were investigated using imaging techniques only if there was a suspicion of deep venous insufficiency, if they were recurrent, or if they involved the saphenopopliteal junction. This practice is now less widely accepted. People with varicose veins should now be investigated using [[Ultrasonography of chronic insufficiency of the legs|lower limbs venous ultrasonography]]. The results from a [[randomised controlled trial]] on patients with and without routine ultrasound have shown a significant difference in recurrence rate and reoperation rate at 2 and 7 years of follow-up.<ref>{{cite journal | vauthors = Blomgren L, Johansson G, Emanuelsson L, Dahlberg-ร kerman A, Thermaenius P, Bergqvist D | title = Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery | journal = The British Journal of Surgery | volume = 98 | issue = 8 | pages = 1112โ1116 | date = August 2011 | pmid = 21618499 | doi = 10.1002/bjs.7579 | doi-access = free }}</ref>
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