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).^{Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited. 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 Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - Huge Roc).^{China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery}Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale CE High Quality Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.,www.xinhaimetalfence.com}Wholesale Cheap OEM/ODM Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd.; 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 Fiber Rich Cereals Factory & Supplier Price - Huge Roc.

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 CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Sand Blasting Gun Products Cheap Price - Mingou}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,^{Screw Neck Perfume Empty Bottle}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.China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Crates And Skates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E,Wholesale Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology—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 CE High Quality 22 Awg Wire Factory & Supplier Price - 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.^{Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Packing Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Ltd.

Foam sclerotherapy

Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,China Supply Custom Brass Adapter Products Cheap Price - Mingou.^{Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{Long Range Laser Security Alarm System}Supply OEM Custom Metal Parts Products Cheap Price - Fenghe. 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 (China Supply Custom Isp Products Cheap Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc}

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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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Supply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen,Wholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen.China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E.Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Hangzhou Jinding Aluminium Industry Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.^{Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co.}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen. ^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Food Grade Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc}Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale CE High Quality Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering;Wholesale Cheap OEM/ODM Whey Protein Products Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.^{Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc,Supply OEM Custom Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}However, high-China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Sodium Saccharin Uses Factory & Supplier Price - Huge Roc.

Acknowledgments

References