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 CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - 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 (Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou}China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicines,Dual Power}China Supply Custom Aluminium Casting CNC Suppliers & Manufacturers Quotes - Highpoint Machinery; 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 Bicarbonate Sodium/Sodium Bicarbonate Food Grade Factories & Manufacturers Pricelist - 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 Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou,Wholesale Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - 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,^{Construction Electric Winch Hoist}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.Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Artificial Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., such as acute DVT,^{Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery,China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY—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 Glass Block Bricks Price Products Cheap 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.^{Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Supply OEM Custom Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials 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

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Foam sclerotherapy

Wholesale CE High Quality Hot Sale Plastic Pallet Unfoldable Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Plastic Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^{Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{5m Tape Measure}Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Aluminium Casting CNC Suppliers & Manufacturers Quotes - Highpoint Machinery}

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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 50ml 100ml Vitamin B Complex Injection 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.Wholesale Cheap OEM/ODM Storage Crate With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing Medicines}Wholesale Cheap OEM/ODM Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Plastic Dolly For Sale Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Armature Winder Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..^{Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE.^{China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Garden Hose Factory & Supplier Price - Mingou}Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc;Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E. FS was associated with the highest failure rate.^{Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}However, high-Supply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co., Ltd..

Acknowledgments

References