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).^{China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines. 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 Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance).^{Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc}Wholesale CE High Quality 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited.^{China Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery,Quick Opening Valve}Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - 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 Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliance.

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.^{Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen,Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^Ltd.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,^Ltd.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.Wholesale Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China 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—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 Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}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 Pea Protein Food Ingredients Products Cheap Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology). And massive bleeding due to injury to femoral veins,China Supply Custom Easy Patch Factory & Supplier 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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Foam sclerotherapy

Wholesale CE High Quality Ratary Brush Factories & Manufacturers Pricelist - Mingou; it can be undertaken in the outpatient clinic,Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines.^{Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}Observational studies found that success rates vary from 82% to 100%,^{34mm Seamless Steel Pipe Tube Wholesaler Quotes & PriceList}Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - 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 Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Beauty 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.

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China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen. 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 V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc.^{Supply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc}Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc.China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen}and has not gained large popularity due to its efficacy. However,China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc.^{Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom High Pressure Compressor Air Hose Factory & Supplier Price - Mingou}Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen;Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology. FS was associated with the highest failure rate.^{China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc,Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc}However, high-Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery.

Acknowledgments

References