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Abstract

China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Large Plastic Crate Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality FG-TYK Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries LimitedRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited–China Supply Custom Herbal Plaster Products Cheap Price - XingzhichenHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc(EVLA),China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Warehouse Pallet Racking Factory & Supplier Price - INNOVATIVE–1200 X 1500 Plastic Pallet

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 Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen. 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 (Wholesale Cheap OEM/ODM Elite Protein Powder Factories & Manufacturers Pricelist - Huge Roc).Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&EWholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe.Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology,Api 5ct TubingWholesale CE High Quality Good Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; 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,Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE.

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 Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVESymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries LimitedHowever, 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,Wholesale CE High Quality Pallet Racks For Sale Factory & Supplier Price - INNOVATIVEbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E, such as acute DVT, Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - Mingou,China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance—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.Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical ApplianceThe 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 Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,China Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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China Supply Custom Storage Used Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE, no need for hospital admission, no surgical incision, and early resumption of daily activity or work are advantages of this procedure. However, like other surgeries, EVLA still can cause operative or postoperative complications, such as hematoma, infection, skin burn, bruising, and catheter stabbing by laser fiber, or the broken catheter can be left in the body.Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines,Water-Cooling Welding TransformerSupply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc, recurrence rates,Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc

Clinical experience shows that the pain after laser ablation contributes to the skin contusion caused between skin and uneven bandages used after the procedure, blisters induced by skin burn,Supply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing MedicinesChina Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines;Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT. Ltd.,China Supply Custom Now Sports Organic Pea Protein Factory & Supplier Price - Huge Roc

Radiofrequency ablation

Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE; it delivers thermal energy from a bipolar catheter to the insufficient veins. RFA is an effective and safe treatment modality for incompetent veins, and it can be performed in-office as a minimally invasive procedure. The advantages of RFA include low complication rate, reduced pain, high vein occlusion rates,Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc,China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited

Foam sclerotherapy

Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Aluminum Alloy Stepless GearmotorsChina Supply Custom Compensating Cable/Wire Factory & Supplier 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 (Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.

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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.

Ambulatory phlebectomy

Ambulatory phlebectomy is an outpatient procedure that removes superficial veins through small 2- to 3-mm incisions in the skin overlying the varicose veins and is performed under local anesthesia. The accepted indications for this technique are side branch varicose veins, and varicose veins of the foot, around the ankle, and the knee pit. The most important instrument for this technique is the vein retractor or phlebectomy hook. There are two ways by which the veins can be grasped. The phlebectomy hook is inserted through an incision and the varicose vein is hooked, extracted, and subsequently fixed with a clamp; the vein is finally pulled out by turning the exteriorized part of the vein. Graded compression stockings or compression bandages are usually used for 1 to 2 weeks after the procedure. This procedure is often used as an adjunct to EVLA or RFA, either concomitantly or in the sequential management of tributaries for symptomatic varicose veins. The complications are uncommon but include paresthesia, bruising, hemorrhage, and hematoma. EVLA with with both treatments achieves excellent results at 5 years. Concomitant treatment of varicosities is associated with optimal improvement in both clinical disease severity and quality of life.China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited,Head Band

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Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou. 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.China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance.China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - XingzhichenSupply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen.Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - MingouIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVEand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines. Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Sun9c Sun9s Nail Dryers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYSupply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc;Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale Cheap OEM/ODM Biological Dressing Products Cheap Price - XingzhichenHowever, high-Wholesale CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - Bluekin Industries Limited-term follow-Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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