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

China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc.China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY–Wholesale CE High Quality Ratary Brush Factories & Manufacturers Pricelist - MingouHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery(EVLA),Wholesale CE High Quality Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.(RFA), foam sclerotherapy (FS),China Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou–www.zjkeister.com

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 Plastick Storge Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Waxed Steel Strapping 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 ( Ltd.).Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical EngineeringSupply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc.China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys,Wholesale CE High Quality Thermocouple Cable K Type Factory & Supplier Price - FOD Electrical EngineeringWholesale Cheap OEM/ODM Plastic Crates With Hinged Lids 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 Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - Huge RocHowever, 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 Sodium Bicarbonate Factory Factory & Supplier Price - Huge Rocbecause 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 Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., such as acute DVT,China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinerypregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Lumbar Muscle Strain Stickers Products Cheap Price - Xingzhichen,China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - 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.Wholesale CE High Quality Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.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 Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E, 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 Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc. Alternatively,Supply OEM Custom Stackable Crate With Lid Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Sand Blasting Gun Products Cheap Price - Mingou

Wholesale CE High Quality Grocery Store Shelves For Sale Factory & Supplier Price - INNOVATIVE, 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.Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited,Sinker Needle S-24-89-55Wholesale Cheap OEM/ODM Thhn Thwn Electrical Wire 16 Awg Suppliers & Manufacturers Quotes - FOD Electrical Engineering, recurrence rates,China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering

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,China Supply Custom Single Wire Factory & Supplier Price - Bluekin Industries LimitedWholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc;Wholesale Cheap OEM/ODM K Type Thermocouple Compensation Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,peas-pa.com

Radiofrequency ablation

Wholesale Cheap OEM/ODM Cheap T Post Factories & Manufacturers Pricelist - Bluekin Industries Limited; 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 CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - Xingzhichen.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe

Foam sclerotherapy

Wholesale CE High Quality Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc.China Supply Custom Alloy Steel Parts Factory & Supplier Price - FengheObservational studies found that success rates vary from 82% to 100%,Wholesale CE High Quality Rice Protein Powder Factories & Manufacturers Pricelist - Huge RocWholesale CE High Quality Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited. 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 Vitamin B Complex Factory & Supplier Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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 Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Fruit Juice Packaging

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Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Multi Color Crayon Factories & Manufacturers Pricelist - Unionrise I&EChina Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen.China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVE;Wholesale Cheap OEM/ODM Sheep Mesh Price Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal TechnologyHowever, high-Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited-term follow-China Supply Custom Blue Color Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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

References

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