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 Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen. 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 High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering).^{Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc}Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited.^{China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery,m.xzmhglassware.com}China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc; 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 Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

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 Baking Soda In Water Products Cheap Price - Huge Roc,China Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - 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 CE High Quality skin-friendly Factory & Supplier Price - Xingzhichen}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 Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE, such as acute DVT,^{Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Design Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen,Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical Engineering—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 Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou}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.^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade 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 Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Thermocouple Compensation Wire Products Cheap Price - FOD Electrical Engineering.^{Supply OEM Custom 1L Foam Lance Factory & Supplier Price - Mingou}Observational studies found that success rates vary from 82% to 100%,^{Printing Paper}Wholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE. 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 (Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - 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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China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering. 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 Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale Cheap OEM/ODM Artificial Big Green Leaves Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Supply OEM Custom Beauty Face Mask Products Cheap Price - Xingzhichen}Wholesale Cheap OEM/ODM Facial Patch Mask Products Cheap Price - Xingzhichen.China Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Supply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E.Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale CE High Quality Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited.^{Supply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Light Duty Cantilever Rack Factories & Manufacturers Pricelist - INNOVATIVE}Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou.Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited;Supply OEM Custom Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc,Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen}However, high-China Supply Custom Tennis Court Synthetic Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.-term follow-China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - Xingzhichen.

Acknowledgments

References