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Abstract

Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe.China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Lecithin Supplement 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 Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries LimitedSupply OEM Custom Automotive Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - Fenghe(EVLA),China Supply Custom Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou.Wholesale CE High Quality Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines10.1inch capactitive touch lcd

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). Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology 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 (China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited).China Supply Custom Vitamin B Complex Syrup Factory & Supplier Price - KeMing MedicinesChina Supply Custom Plastic Crate Alibaba China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Ltd.,Supply OEM Custom Warehouse Racking Accessories Suppliers & Manufacturers Quotes - INNOVATIVEWholesale Cheap OEM/ODM Expendable Thermocouple Factory & Supplier Price - FOD Electrical Engineering; 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 Weight Of Iron Nails Products Cheap Price - Bluekin Industries Limited.

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 Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.,Supply OEM Custom Rice Protein Shake Factories & Manufacturers Pricelist - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.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,Apple Usb C To Usb Factory OEM/ODM Productsbecause 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 Green Pea Protein Powder Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom OEM Mobile Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, such as acute DVT,Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines,Supply OEM Custom 1L Foam Lance Factory & Supplier Price - Mingou,Wholesale Cheap OEM/ODM Adhesive Plaster Suppliers & Manufacturers Quotes - 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 Automatic Powder Spray Coating Line Factory & Supplier Price - 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 High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou, 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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Supply OEM Custom Car Spray Booth Paint Cabinet Baking Oven Products Cheap Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen. Alternatively,Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc

China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., 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.Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Eyewear Quality Control Inspection Service In YiwuWholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited, recurrence rates,Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

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 CE High Quality Large Plastic Crate Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.Wholesale Cheap OEM/ODM Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited;Wholesale CE High Quality FG-TYK Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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.,China Supply Custom Best Whey Isolate Protein Powder Factory & Supplier Price - Huge Roc

Radiofrequency ablation

Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc; 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,China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

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 Hanging Conveyor System Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

Foam sclerotherapy

Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen.China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.Observational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Sterile Healthcare Plaster Products Cheap Price - XingzhichenWholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe. 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 Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co.

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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.Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen,MuRata

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Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE. 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 Protein Shake Recipes Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Antibiotic Factory & Supplier Price - KeMing MedicinesSupply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E.China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - Mingou.China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance.China Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Cosmetic Mask Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.It aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Rivet Nut Factory & Supplier Price - Fengheand has not gained large popularity due to its efficacy. However,China Supply Custom Storage Used Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Industrial Wet And Dry VacuumSupply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited;China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology. FS was associated with the highest failure rate.Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.,Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing MedicinesHowever, high-Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE-term follow-Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc.

Acknowledgments

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

References

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