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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines.Supply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc.
Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing MedicinesRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc–China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh 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 Plastic Crate With Foldable Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.(EVLA),Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE–Supply OEM Custom Medical Consumables Factories & Manufacturers Pricelist - Xingzhichen
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 CE High Quality Textile Cleaning Gun Products Cheap Price - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology. 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 (China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc).Wholesale CE High Quality Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,4mm Micro Coreless MotorWholesale CE High Quality Gangkai Non Woven Surgical Face Masks Suppliers & Manufacturers Quotes - 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,Supply OEM Custom Antimalarials Factory & Supplier Price - KeMing Medicines.
Table 1
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 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking 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 Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHowever, 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,jinbinvalve.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 CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Plastic Net Baskets Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicines,Supply OEM Custom Galvanized Steel Wire Mesh 3mm Factory & Supplier Price - 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. Ltd.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.China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Field Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
Table 2
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Supply OEM Custom Hotsell Soccer Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal TechnologyIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines. Alternatively,China Supply Custom Electrical Wire Flat Cable Products Cheap Price - FOD Electrical Engineering.China Supply Custom Professional Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Ltd.
Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou, 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 Armature Testing Panel Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Single Core Teflon Wire Factories & Manufacturers Pricelist - FOD Electrical EngineeringWholesale Cheap OEM/ODM Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance, recurrence rates,Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery,Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance
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,China Supply Custom Sstorage Turnover Large Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc;Wholesale CE High Quality Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering,Flat Rolling Die
Radiofrequency ablation
Wholesale Cheap OEM/ODM Large Plastic Crate Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; 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 Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Ltd.,Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited, Ltd.
Foam sclerotherapy
Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,China Gold Supplier for Bend Floor Light -Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc. 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 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines
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. Ltd.,Sunon Ac Axial Flow Fan
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China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery. 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 Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.,China Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge Roc.China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Plastic Crates With Hinged Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVEIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Applianceand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited
Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Facial Mask Sheet Products Cheap Price - XingzhichenWholesale Cheap OEM/ODM Lumbar Muscle Strain Stickers Products Cheap Price - Xingzhichen.China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc;Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou, Ltd.However, high-Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E-term follow-Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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