Abstract

Manifestation and Severity of Varicose Veins

Patients with varicose veins present from asymptomatic to significant symptoms, including discomfort, aching, pain, itching or eczema, and deep vein thrombosis (DVT).^{Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Price Sodium Bicarbonate Products Cheap Price - Huge Roc. The CEAP (clinical, etiology, anatomy, pathophysiology) classification is used to describe the degree of varicose veins. The “C” part of CEAP classification is more useful and practical in rating the severity of varicose veins (Supply OEM Custom Sheep Wire Mesh Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}Supply OEM Custom 60 Ml Black Face Mask Products Cheap Price - Xingzhichen.^{China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Scrap Iron Melting Furnace}Wholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen; it can provide a road map of vein anatomy similar to contrast venography, as well as essential hemodynamic information about the presence of proximal obstruction, vein valve function,Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Table 1

CEAP classification: C (clinical component)

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Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.^{Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom With Lid Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc}However, cosmesis is a common reason for treatment of asymptomatic patients, especially for young female patients. It is controversial to perform surgery on patients who have recovered from the superficial phlebitis,^{Bath Mat High Quality Supplier}because the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited, such as acute DVT,^{Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen,Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering—further imaging to assess the patency of the deep veins is critical before surgery. Emergent management is usually reserved for bleeding varicosities or suspected DVT.

Modalities for Management of Varicose Veins

Conventional surgical stripping

All management modalities for varicose veins are safe and effective at short-term and midterm follow-up.^{Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc}The methods to manage great saphenous veins traditionally include ligation and division of the saphenofemoral junction and its tributaries in the groin, stripping the great saphenous veins from groin to knee level. The incompetent small saphenous veins are ligated and divided, rather than stripped, close to the popliteal vein in the knee pit, because stripping small saphenous veins may potentially damage the sural nerve.^{Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

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Foam sclerotherapy

China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE.^{China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Hair Straightener Price Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering. It takes approximately 1 hour to perform FS, patients do not need to take medicine or stay in the hospital, and patients can go home or continue to work immediately after the procedure. The efficacy of FS is obvious in comparison with conventional surgical stripping (China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines}

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Comparison of postoperative outcomes after conventional surgical stripping (A) with FS (B and C). Multiple surgical scars seen after surgical stripping (A); no visible varicose veins seen 4 days after FS (C) versus obvious varicose veins prior to FS.

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China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc. The most common cause is the valve insufficiency of the deep veins due to DVT; in rare conditions it can be due to congenital valve or vessel abnormalities.Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou,China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen.^{Wholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen}Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering.China Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc.^{China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou.^{Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Best-Selling Led Floor Tile Light -}China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical Engineering;Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Ltd.,Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc}However, high-China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited-term follow-Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen.

Acknowledgments

References