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).^{China Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E. 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 (China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen}Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.^{Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou,cnuneed.com}Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier Price - 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 Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

Table 1

CEAP classification: C (clinical component)

Ltd.

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 Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE,China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap 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,^{Supply OEM Custom Coating Cover Mould Factory & Supplier Price - FOD Electrical Engineering}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 High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.,Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen,China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - 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.^{China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc}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.^{China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited, 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 Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&E.^{Wholesale CE High Quality Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Fire Rope Braiding Machine}Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - 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 CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc}

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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 Sun9s Nail Light 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.Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology.^{Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}Wholesale CE High Quality Price Sodium Bicarbonate Products Cheap Price - Huge Roc.Supply OEM Custom 60 Ml Black Face Mask Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom With Lid Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge Roc.^{China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Powder Coating Spray Gun Factories & Manufacturers Pricelist - FOD Electrical Engineering}Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen;Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering. FS was associated with the highest failure rate.^{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}However, high-China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc.

Acknowledgments

References