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 Sandblasting Gun Products Cheap Price - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc. 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 (Ltd.).^{Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe}Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou.^{Wholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Slinky Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co.}China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen; 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 Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - 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.^{Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - 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,^{China Supply Custom Matrix Protein Products Cheap 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.China Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,^{China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou—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 Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}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 C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe). And massive bleeding due to injury to femoral veins,China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Aluminum Foil Fish Pan

Foam sclerotherapy

Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^StraightenerChina Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou. 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 Fever Plaster Factories & Manufacturers Pricelist - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment 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 Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology. 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.China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.^{Wholesale Cheap OEM/ODM Cfm Whey Protein Factory & Supplier Price - Huge Roc}China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Mini Football Field Artificial Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen.^{Wholesale CE High Quality Organic Protein Shake Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Artesunate Sulformethoxine Pyrimethamine Tabs Factory & Supplier Price - KeMing Medicines}Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering.China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering;Wholesale CE High Quality Welding Rod 3.15 Mm Factory & Supplier Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Fence Barb Wire Arm Suppliers & Manufacturers Quotes - Bluekin Industries Limited}However, high-Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery-term follow-Wholesale CE High Quality Surgical Dressing Membrane Factories & Manufacturers Pricelist - Xingzhichen.

Acknowledgments

References