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).^{Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 (Ltd.).^{China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE}Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen.^{China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited,Industry Floor Steel Grating}Wholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology 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 CE High Quality sterile Factory & Supplier Price - Xingzhichen.

Table 1

CEAP classification: C (clinical component)

Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap Price - Huge Roc

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 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge Roc}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,^{Wholesale CE High Quality Die Casting Motor Engine Parts Factory & Supplier Price - Highpoint Machinery}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 Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E, such as acute DVT,^{Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE,China Supply Custom Hangzhou Jinding Aluminium Industry Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen—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 Razor Wire For Sale Suppliers & Manufacturers Quotes - 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 Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM What Foods Are High In Fiber List Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

China Supply Custom Ammonium Bicarbonate For Potassium Carbonate Factory & Supplier Price - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM Atv Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Now Organic Pea Protein Products Cheap Price - Huge Roc.^{Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Aluminum Homogenizing Furnace}Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical Engineering. 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 wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}

China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc

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.

Wholesale CE High Quality Teflon 30awg Wire Products Cheap Price - FOD Electrical Engineering

Wholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing Medicines. 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 Good Protein Powder Products Cheap Price - Huge Roc,Supply OEM Custom Conference Room Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^Ltd.Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Shaft Pressing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Artificial Light Maple Tree Factory & Supplier Price - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Artificial Leaf Craft Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^{Supply OEM Custom Mobile Shelves Factory & Supplier Price - INNOVATIVE}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Steel Nail Price Factories & Manufacturers Pricelist - Bluekin Industries Limited}China Supply Custom Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Unique Bookshelves Factories & Manufacturers Pricelist - INNOVATIVE;Wholesale Cheap OEM/ODM Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen. FS was associated with the highest failure rate.^{Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited}However, high-Wholesale CE High Quality Pvc Insulated And Sheathed Wires Factory & Supplier Price - FOD Electrical Engineering-term follow-Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

References