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).^{Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. 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 (China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering).^{Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen}Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.^{Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology,Ltd.}Supply OEM Custom High Pressure Water Hose 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,China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou.

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 Educational Games Products Cheap Price - Unionrise I&E,Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention. ^Ltd.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,^{Flange Butterfly Valves}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 Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,^{Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Elite Protein Powder Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Turf Artificial Grass Football Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited—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 Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited}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.^{China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY, 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

Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines.^{Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^growook.comSupply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - 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 CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Custom Plastic Storage Crate 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.

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Wholesale CE High Quality Plastic Crate With Foldable Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. 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 Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E,Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines.^{Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - Huge Roc}Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Gangkai Non Woven Surgical Face Masks Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom Antimalarials Factory & Supplier Price - KeMing Medicines.Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe}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,Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{M12 Waterproof Aviation Plug Cable}Wholesale Cheap OEM/ODM Plastic Net Baskets Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicines;Supply OEM Custom Galvanized Steel Wire Mesh 3mm Factory & Supplier Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc,Wholesale CE High Quality Teflon 30awg Wire Products Cheap Price - FOD Electrical Engineering}However, high-Wholesale Cheap OEM/ODM Field Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited-term follow-Supply OEM Custom Vitamin B Complex Factory & Supplier Price - KeMing Medicines.

Acknowledgments

References