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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

China Supply Custom Sstorage Turnover Large Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Large Plastic Crate Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen.Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.

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 Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - FengheRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.–Wholesale Cheap OEM/ODM Now Organic Pea Protein Products Cheap Price - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen(EVLA),Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc(RFA), foam sclerotherapy (FS),China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery.Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc–China Diesel Power Generator

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 Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery. 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 Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited).Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical EngineeringWholesale CE High Quality Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc,29 Awg Nickel Plated Copper WireChina Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge Roc; 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,China Supply Custom Waxed Steel Strapping Products Cheap Price - 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.Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited, Ltd.Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge RocHowever, 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,www.qingdaoflrope.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.Wholesale Cheap OEM/ODM Plastic Crates With Hinged Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, such as acute DVT,Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.—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.China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - XingzhichenThe 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 High Protein Powder Factories & Manufacturers Pricelist - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Lumbar Muscle Strain Stickers Products Cheap Price - Xingzhichen, 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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Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - XingzhichenIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E. Alternatively,Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering.Ltd.

Supply OEM Custom Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc, 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 CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE,m.liweipvc.comSupply OEM Custom Stackable Crate With Lid Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines,Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology

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 Grocery Store Shelves For Sale Factory & Supplier Price - INNOVATIVEWholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co.;Wholesale Cheap OEM/ODM Thhn Thwn Electrical Wire 16 Awg Suppliers & Manufacturers Quotes - FOD Electrical Engineering. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE,Wholesale CE High Quality Ammonium Bicarbonate Baking Factories & Manufacturers Pricelist - Huge Roc

Radiofrequency ablation

China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; 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,China Supply Custom Single Wire Factory & Supplier Price - Bluekin Industries Limited.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited,China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM K Type Thermocouple Compensation Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Cheap T Post Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical ApplianceObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge RocWholesale CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - Xingzhichen. 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 (Supply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen

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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.

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.Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines,Ltd.

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China Supply Custom Organic Soy Lecithin Factory & Supplier Price - 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 CE High Quality Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical EngineeringSupply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.It aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVEand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,Discount Price Flat Elastic Rubber Band - gun bag - DemaruiChina Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - Xingzhichen;Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHowever, high-China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen-term follow-China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVE.

Acknowledgments

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

References

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