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 Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE. 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 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited).^{China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines,Wholesale CE High Quality Ammonium Bicarbonate Australia Products Cheap Price - Huge Roc}China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - 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 Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering.

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.^{Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE}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,^m.czmtev.combecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT, ^Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE—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 Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery}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 Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering, 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 Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering.^{Supply OEM Custom Artificial Plants Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Welded Wire Mesh Sizes Products Cheap Price - Bluekin Industries Limited}China Supply Custom Glass Block Bricks Price Products Cheap Price - 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 (Wholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Cold Rolled Steel Straps 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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China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - 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 The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Good Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Appliance.China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited.China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical Engineering.^{Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^Ltd.China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou.Wholesale Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.;Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology. FS was associated with the highest failure rate.^{Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE,China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited}However, high-China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited-term follow-Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.

Acknowledgments

References