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

China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E.Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier 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%.Wholesale Cheap OEM/ODM Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical ApplianceRisk 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 9w Uv Nail Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYLtd.High 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 Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY(EVLA),Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology(RFA), foam sclerotherapy (FS),China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge RocWholesale CE High Quality Entertainment Products Cheap Price - Green Link New Materials Co.

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 Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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 (Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited).Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing MedicinesChina Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Ltd.,Flocculent Cephalin CholesterolSupply OEM Custom For Wound Care Alginate Dressing 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,China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited.

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 Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Filter Face Mask Products Cheap Price - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.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,Advertising Beaconbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc, such as acute DVT,China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou,Supply OEM Custom Fitness Center Products Cheap Price - Green Link New Materials 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.Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVEThe 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 Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries LimitedIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Food Additives Sweeteners Products Cheap Price - 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

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Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited

Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - 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.China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines,Dump Truck Hydraulic Cylinder PartsWholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&E.Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen,Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - 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,Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - Huge RocChina Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering;China Supply Custom Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou. 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 Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE,Supply OEM Custom Nested Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.

Radiofrequency ablation

China Supply Custom Sun9s Nail Light 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,Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE.

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 CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery,Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Price Sodium Bicarbonate Products Cheap Price - Huge Roc.Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge RocObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Respiratory System Drugs Suppliers & Manufacturers Quotes - KeMing MedicinesSupply OEM Custom 60 Ml Black Face Mask Products Cheap Price - 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 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Hair Straightening Products Cheap 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.

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 Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering,m.cimmbeatrice.com

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Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. 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 With Lid Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge RocSupply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc.Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - XingzhichenIt aims to increase the coating surface and restore valve competency by external support Ltd.and has not gained large popularity due to its efficacy. However,China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd..Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Plastic Canoe KayakWholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE. FS was associated with the highest failure rate.Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.However, high-Wholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.-term follow-China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries Limited.

Acknowledgments

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

References

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