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 Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc. 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 Calcium Propionate Made In China Products Cheap Price - Huge Roc).^{China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc}Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Fence Barb Wire Arm Suppliers & Manufacturers Quotes - Bluekin Industries Limited,China Supply Custom Spray Paint Action Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou; 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,China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

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 Ring Shank Nail Products Cheap Price - Bluekin Industries Limited,China Supply Custom Professional Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Sodium Cyclohexylsulfamate Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Sand Blasting Nozzle Factories & Manufacturers Pricelist - Mingou}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,^{Electronic Survey Equipment}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.Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe, such as acute DVT,^{Wholesale Cheap OEM/ODM Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines,China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen—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 Brown Rice Based Protein Powder Products Cheap Price - 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 Multicolor Artificial Green Leaf Products Cheap Price - Green Link New Materials Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

17holes

Foam sclerotherapy

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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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Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited.^{Wholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E.China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe.Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co.}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{www.ycwelding.com}China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen,Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}However, high-China Supply Custom Sewage Hose Factory & Supplier Price - Mingou-term follow-Supply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References