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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. 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 Artificial Sakura Tree Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe.China Supply Custom Adapter Products Cheap Price - Mingou.
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 Bulk Pea Protein Factory & Supplier Price - Huge RocRisk 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 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY–Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHigh 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 Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.(RFA), foam sclerotherapy (FS),China Supply Custom Protein Shake Recipes Factories & Manufacturers Pricelist - Huge Roc.Ltd.–Ltd.
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 60 Ml Black Face Mask Products Cheap Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Retardant Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.. 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 (Wholesale CE High Quality Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY).Supply OEM Custom Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal TechnologySupply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Plastic High Pressure Water Hose Products Cheap Price - Mingou,Wholesale Cheap OEM/ODM Plastic Wire Products Cheap Price - Bluekin Industries LimitedWholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge Roc; 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 Coil Lacing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..
Indication and Contraindication of Treatment for Varicose Veins
The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins. Ltd.,Supply OEM Custom Sandblasting Gun Products Cheap Price - MingouSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Ltd.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 Small Squared Storage Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.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 Shelving Timber Suppliers & Manufacturers Quotes - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale Cheap OEM/ODM Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.—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 Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRYThe 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 High Pressure Air Hose Products Cheap Price - MingouIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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Wholesale CE High Quality Pea Protein Reviews Products Cheap Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVEIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.. Alternatively,Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - Huge Roc
China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering, 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 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,China Supply Custom Medical Plaster Factories & Manufacturers Pricelist - XingzhichenChina Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe, recurrence rates,Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys.Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe
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 Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen Ltd.;Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Infusion Stickers Factories & Manufacturers Pricelist - Xingzhichen,www.hrl-battery.com
Radiofrequency ablation
Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou; 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 Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - FOD Electrical Engineering,Wholesale CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.
Foam sclerotherapy
Wholesale Cheap OEM/ODM Shaft Pressing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou.Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,Wholesale CE High Quality alginate Fiber Facial Mask Factory & Supplier Price - XingzhichenSupply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. 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 (Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe
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 Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Nonwoven Facial Mask Factories & Manufacturers Pricelist - Xingzhichen
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Overall, all management modalities appear to be safe and effective in the short term and midterm,Auto Electronic Pump Wholesaler Quotes & PriceListChina Supply Custom Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - Huge RocHowever, high-Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E-term follow-Wholesale Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons