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).^{China Supply Custom Adapter Products Cheap Price - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co., Ltd.. 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 Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc).^{Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc}Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering.^{China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen,Fusionserver Ch242}Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering; 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 Plastic Tote Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

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 Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen, 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,^{1.54 Inch 240x240 Tft Screen Display}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 Stacking Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering,China Supply Custom Mirror Polished Aluminum Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Soft Iron Wire Factories & Manufacturers Pricelist - 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 CE High Quality Plain Protein Powder Products Cheap Price - 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.^{Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Solid 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

Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E}Observational studies found that success rates vary from 82% to 100%,^{Water Cartridge Filter Housing}Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E. 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 Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Diamond Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}

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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 White Chicken Wire Mesh Products Cheap Price - Bluekin Industries Limited. 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 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Now Organic Pea Protein Products Cheap Price - Huge Roc}Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen.China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc.Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe.^{Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE.^{Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Silicone Nipple Cover}Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc.China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.^{Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc}However, high-Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E.

Acknowledgments

References