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

Wholesale CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - 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 Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing MedicinesChina Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines(EVLA),Wholesale CE High Quality 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYWholesale CE High Quality 5 Foot Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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 Chain Link Fence Cage Products Cheap Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliance. 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 Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering).Wholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical EngineeringWholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - Huge Roc.China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering,Medical Prepared Microscope SlidesWholesale Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - Xingzhichen; 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 Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - 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 CE High Quality Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Easy Patch Factory & Supplier Price - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical EngineeringHowever, 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,China Supply Custom Car Machine Wash Suppliers & Manufacturers Quotes - Mingoubecause 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 Neural Relaxation Patch Products Cheap Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineeringpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China 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—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.Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical EngineeringThe 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 Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries LimitedIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - XingzhichenIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Lamination Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.. Alternatively,China Supply Custom Pvc Hose Factory & Supplier Price - Mingou.China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Ltd.

Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou, 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.China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe,Ltd.,China Supply Custom Where To Buy Vital Wheat Gluten Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery, recurrence rates,Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge Roc.Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou,Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc

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,Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - MingouSupply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering;Wholesale CE High Quality Ratary Brush Factories & Manufacturers Pricelist - Mingou. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT. Ltd.,zichen-rubber.com

Radiofrequency ablation

Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines; 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 Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc.

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 Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom What Is Whey Protein Isolate Products Cheap Price - Huge Roc

Foam sclerotherapy

China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVEObservational studies found that success rates vary from 82% to 100%,Acetic Anhydride WhmisChina Supply Custom V Protein Powder 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 Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited

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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.

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.China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Winding Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.

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Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. 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 Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing MedicinesChina 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.China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc.Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&EIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Applianceand has not gained large popularity due to its efficacy. However,Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Hydraulic Hose High Pressure Suppliers & Manufacturers Quotes - Mingou

Overall, all management modalities appear to be safe and effective in the short term and midterm,250w Led Flood Light Ip67Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery;China Supply Custom White Rice Protein Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery,Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYHowever, high-Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou-term follow-China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

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

References

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