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Duplex ultrasound scanning is first used to evaluate the condition of the varicose veins. As varicose veins result from the incompetence of leg valves, leading to abnormal blood flow, the use of Duplex ultrasound is therefore one of the most accurate methods for determining the location of the leaking valves. Once the incompetent valve is localized, a suitable treatment method can then be selected. This procedure is conducted by a trained surgeon.

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