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 Vitamin Tablet Products Cheap Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Medical Patch Factories & Manufacturers Pricelist - 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 Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.).^{Wholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou}Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou}China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou; 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 Vital Pea Protein Powder Factory & Supplier Price - Huge Roc.

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.^{China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Lumbar Muscle Strain Stickers Products Cheap Price - Xingzhichen}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,^{Supply OEM Custom Container Houses For Sale In Kenya Products Cheap Price - FOD Electrical Engineering}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 Private Label Dietary Fibers Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{China Supply Custom Unflavored Whey Protein Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc—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 CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou}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 CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe). And massive bleeding due to injury to femoral veins,Supply OEM Custom Nested Plastic Crates Factories & Manufacturers Pricelist - 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

Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..^{Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Best Bookshelves Products Cheap Price - INNOVATIVE}China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc. 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 Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited}

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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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Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. 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.Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc,Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - Fenghe}Wholesale Cheap OEM/ODM Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE.Wholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Kids Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.^{Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou}and has not gained large popularity due to its efficacy. However,China Supply Custom Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Sodium Cyclamate Quality Suppliers & Manufacturers Quotes - Huge Roc}Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Oil Colour Painting Set Factory & Supplier Price - Unionrise I&E;China Supply Custom Ptfe Wire For Sensor Applications Ul 1180 Factory & Supplier Price - FOD Electrical Engineering. FS was associated with the highest failure rate.^{China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc}However, high-China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Gi Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Acknowledgments

References