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 CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines. 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 Mobile Shelves Factory & Supplier Price - INNOVATIVE).^{Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.}China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited,Die Making Forging}Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited; 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 Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - 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 Facial Mask Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Cooling Stickers Factories & Manufacturers Pricelist - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Large Plastic Crate Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Brown Rice Protein Powder Suppliers & Manufacturers Quotes - 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,^{Supply OEM Custom Top Quality Saccharin Sodium Factory & Supplier Price - Huge Roc}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.Wholesale CE High Quality FG-TYK Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc, such as acute DVT,^{Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen,Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen—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 Antimalarials Factory & Supplier Price - KeMing Medicines}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 Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe, 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 Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology.^{China Supply Custom Foam Sprayer Factory & Supplier Price - Mingou}Observational studies found that success rates vary from 82% to 100%,^Ltd.Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE. 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 (Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc}

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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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Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. 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 Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines,Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines.^{China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It aims to increase the coating surface and restore valve competency by external support^Ltd.and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou.^{China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Commercial Led Trunking System Exporter Hot Sale Product}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;Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{China Supply Custom White Rice Protein Products Cheap Price - Huge Roc, Ltd.}However, high-Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen-term follow-Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

References