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).^Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom hemostasis 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 CE High Quality Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe).^{Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen}China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc.^{China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Sodium Cyclamate Quality Products Cheap Price - Huge Roc}Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology; 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 CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.

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 Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited,China Supply Custom Fever Plaster Factories & Manufacturers Pricelist - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co.}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,^{China Do Sensor For Water}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 Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Cheap Whey Protein 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.^{Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - 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 Cfm Whey Protein Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Organic Protein Shake Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,China Supply Custom Nested Plastic Crates 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

Retaining Spring Clips

Foam sclerotherapy

Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Wooden Wall Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.^{Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Sodium Cyclamate 99.99% Suppliers & Manufacturers Quotes - Huge Roc}Wholesale Cheap OEM/ODM Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Library Mobile Shelving Products Cheap Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Modular Metal Shelving Suppliers & Manufacturers Quotes - INNOVATIVE}

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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 Liquid Emulsifier Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering,Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.^{China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery}Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^{Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom G1/4 F Snow Foam Lance Factories & Manufacturers Pricelist - Mingou}and has not gained large popularity due to its efficacy. However,China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Sugarcane Bagasse Steam Boiler}Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY;Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.^{China Supply Custom Automatic Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Organic Pea Powder Factory & Supplier Price - Huge Roc}However, high-Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc-term follow-Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou.

Acknowledgments

References