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 Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - 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 (Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc).^{Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE}Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering.^{China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Kids Painting Sets Suppliers & Manufacturers Quotes - Unionrise I&E}Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology; 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,Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc.

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 Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE,Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited}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 Cheap OEM/ODM Whey Protein Shake Factory & Supplier Price - Huge Roc}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 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,^{Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines,Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE—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 Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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 Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Ltd.). And massive bleeding due to injury to femoral veins,Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc, 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 Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE; it can be undertaken in the outpatient clinic,China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen.^{Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Nervous Patch Factory & Supplier Price - Xingzhichen}Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering. 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 (China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering}

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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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Wholesale Cheap OEM/ODM Large Plastic Crate Box 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 Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited.^{China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co.}China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines.^{Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Hydraulic Mono-Block Directional Control}Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen;Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate. ^{Ltd.,China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines}However, high-China Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology-term follow-Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited.

Acknowledgments

References