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Abstract

Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Best Sources Of Dietary Fiber Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Professional Hair Straightener Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&ERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology–Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - XingzhichenHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale CE High Quality Clotrimazole Products Cheap Price - KeMing Medicines(EVLA),China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),Supply OEM Custom Mezzanine Level Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE–Ltd.

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).Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVEThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Timber Shelves Factories & Manufacturers Pricelist - 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 CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited). Ltd.China Supply Custom Carbon Steel Parts Products Cheap Price - Fenghe.Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance,Wholesale CE High Quality Ammonia In Food Products Cheap Price - Huge RocWholesale CE High Quality Automatic Metal Parts Powder Coating Line 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,Wholesale Cheap OEM/ODM Led Nail Uv Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.

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 Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYHowever, 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,Charms For Jewelry Makingbecause 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 Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing Medicines—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 Antianemic Agents Tablet Factory & Supplier Price - KeMing MedicinesThe 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 Lightweight Steel Strap Products Cheap Price - Bluekin Industries LimitedIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-t02.jpg

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Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc. Alternatively,Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited. Ltd.

China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited, no need for hospital admission, no surgical incision, and early resumption of daily activity or work are advantages of this procedure. However, like other surgeries, EVLA still can cause operative or postoperative complications, such as hematoma, infection, skin burn, bruising, and catheter stabbing by laser fiber, or the broken catheter can be left in the body.Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc,Aluminum Profile For Kitchen CabinetWholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe, recurrence rates,Supply OEM Custom Plastic Storage Basket Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited

Clinical experience shows that the pain after laser ablation contributes to the skin contusion caused between skin and uneven bandages used after the procedure, blisters induced by skin burn,Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE;Wholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Supply OEM Custom Quality Ammonium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc

Radiofrequency ablation

Wholesale Cheap OEM/ODM Hand Warmer Packs Factory & Supplier Price - Jade Rabbit Electrical Appliance; it delivers thermal energy from a bipolar catheter to the insufficient veins. RFA is an effective and safe treatment modality for incompetent veins, and it can be performed in-office as a minimally invasive procedure. The advantages of RFA include low complication rate, reduced pain, high vein occlusion rates,Supply OEM Custom Automotive Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited,China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen

Foam sclerotherapy

Wholesale CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Best Pea Protein Powder For Weight Loss Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - MingouObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Body Wax Warmer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYSupply OEM Custom Nested And Plastic Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. 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 Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.

Ambulatory phlebectomy

Ambulatory phlebectomy is an outpatient procedure that removes superficial veins through small 2- to 3-mm incisions in the skin overlying the varicose veins and is performed under local anesthesia. The accepted indications for this technique are side branch varicose veins, and varicose veins of the foot, around the ankle, and the knee pit. The most important instrument for this technique is the vein retractor or phlebectomy hook. There are two ways by which the veins can be grasped. The phlebectomy hook is inserted through an incision and the varicose vein is hooked, extracted, and subsequently fixed with a clamp; the vein is finally pulled out by turning the exteriorized part of the vein. Graded compression stockings or compression bandages are usually used for 1 to 2 weeks after the procedure. This procedure is often used as an adjunct to EVLA or RFA, either concomitantly or in the sequential management of tributaries for symptomatic varicose veins. The complications are uncommon but include paresthesia, bruising, hemorrhage, and hematoma. EVLA with with both treatments achieves excellent results at 5 years. Concomitant treatment of varicosities is associated with optimal improvement in both clinical disease severity and quality of life.Wholesale Cheap OEM/ODM Biological Dressing Products Cheap Price - Xingzhichen,Foam Trucker Hat Factory & Manufacturer

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Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin 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.Wholesale Cheap OEM/ODM Vitamin Ad3e Injection Products Cheap Price - KeMing Medicines,Wholesale CE High Quality Fire Resistant Cable Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Ltd.Wholesale CE High Quality Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVE.Supply OEM Custom Painting Palette Factories & Manufacturers Pricelist - Unionrise I&E.China Supply Custom Soya Bean Factory & Supplier Price - Huge Roc.China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Folding Shopping Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Kitchen Wire Shelving Factory & Supplier Price - INNOVATIVEIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Rocand has not gained large popularity due to its efficacy. However,Supply OEM Custom Warehouse Racking Costs Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,Hose Fitting SleeveChina Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale Cheap OEM/ODM Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering;Supply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance. FS was associated with the highest failure rate. Ltd., Ltd.However, high-China Supply Custom Brown Rice Pea Protein Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Plastic High Pressure Water Hose Products Cheap Price - Mingou.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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