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A principal abnormality causing venous insufficiency is deep venous reflux, usually resulting from post-thrombotic valve destruction. Patients undergoing treatment for venous insufficiency should have all venous abnormalities investigated, defined and corrected where possible. Although treatment for superficial and communicating vein incompetence is available, correction of deep vein reflux has been neglected until recently. Deep vein valve physiology, the selection of patients for deep vein valve surgery and methods of valve repair and replacement are reviewed.<\/jats:p>","DOI":"10.1002\/bjs.1800780404","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:40:02Z","timestamp":1172936402000},"page":"388-394","source":"Crossref","is-referenced-by-count":38,"title":["Repair and replacement of deep vein valves in the treatment of venous insufficiency"],"prefix":"10.1093","volume":"78","author":[{"given":"N M","family":"Wilson","sequence":"first","affiliation":[{"name":"Surgical Unit, St. Thomas' Hospital , London SE1 7EH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D L","family":"Rutt","sequence":"additional","affiliation":[{"name":"Surgical Unit, St. Thomas' Hospital , London SE1 7EH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N L","family":"Browse","sequence":"additional","affiliation":[{"name":"Surgical Unit, St. Thomas' Hospital , London SE1 7EH,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1991,4,1]]},"reference":[{"key":"2024092809404694900_bib1","first-page":"217","article-title":"Etude de la fr\u00e9quence des maladies phl\u00e9bologiques et de l'influence de quelques factuers \u00e9tiologiques","volume":"19","author":"Bobek","year":"1966","journal-title":"Phlebologie"},{"key":"2024092809404694900_bib2","volume-title":"Peripheral Venous Disorders. 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