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 Mobile Shelving Products Cheap Price - INNOVATIVE}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Antifungal Agents Products Cheap Price - KeMing Medicines).^{Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology}Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co.,Supply OEM Custom Electric Silicone Heating Cable Factory & Supplier Price - FOD Electrical Engineering}Supply OEM Custom Mfa Insulation Wire Products Cheap 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 Buy Calcium Propionate Products Cheap Price - 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.^{Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - 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,^{Wholesale Cheap OEM/ODM Tools Uv Sterilizer For Nail Salon Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}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 Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd., such as acute DVT,^{Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Buy Stackable Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - 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 Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe}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 Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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 Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.}Observational studies found that success rates vary from 82% to 100%,^{American car}Supply OEM Custom With Lid Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}

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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 Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited. 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.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.^{China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc.China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE.^{China Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Oem Vitamin C Tablet Products Cheap Price - KeMing Medicines}Wholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries Limited;Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Warehouse Pallet Racking Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc}However, high-Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines-term follow-Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited.

Acknowledgments

References