What is the primary procedure performed for the recurrent varicose veins in the 36-year-old patient?

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When varicose veins recur after prior surgery, the main goal is to physically remove the new varicose segments that are causing symptoms. Excision (phlebectomy) of the recurrent varicose veins directly removes these diseased veins, provides durable relief, and targets the exact veins that have become varicose again. While other treatments like endovenous therapies or sclerotherapy can treat certain refluxing segments or smaller veins, they don’t address the prominent recurrent varicosities as effectively as removing them. Ligation of the great saphenous vein would be considered if the main trunk is the source of reflux, which isn’t the primary scenario for recurrent superficial varicosities, and sclerotherapy of telangiectasia alone ignores the larger recurrent veins causing symptoms.