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Abstract

Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Hand Warmers Gloves Products Cheap Price - Jade Rabbit Electrical Appliance.Supply OEM Custom Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Concrete Steel Nail Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Atv Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.

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 Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries LimitedRisk 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 Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVEHigh 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 Now Organic Pea Protein Products Cheap Price - Huge Roc(EVLA),Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Teflon 30awg Wire Products Cheap Price - FOD Electrical Engineering.China Supply Custom Sewage Hose Factory & Supplier Price - MingouChina Colorful Glass

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 Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing Medicines. 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 Curling Iron Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY).Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical EngineeringChina Supply Custom Good Protein Powder Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Beacon Bluetooth Exporter Hot Sale ProductSupply OEM Custom Conference Room Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.; 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 Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc.

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 Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries LimitedHowever, 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,Test Tubebecause 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 Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Shaft Pressing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., such as acute DVT,China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliancepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E,China Supply Custom Artificial Light Maple Tree Factory & Supplier Price - Green Link New Materials Co., Ltd.,Wholesale CE High Quality Artificial Leaf Craft Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.—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 Good Whey Protein Factories & Manufacturers Pricelist - Huge RocThe 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 Protein Rice Factory & Supplier Price - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology). And massive bleeding due to injury to femoral veins,China Supply Custom Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials 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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Wholesale Cheap OEM/ODM Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Pvc Insulated And Sheathed Wires Factory & Supplier Price - FOD Electrical Engineering. Alternatively,Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Sheep Wire Mesh Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys

Wholesale Cheap OEM/ODM White Nuisance Face Mask Suppliers & Manufacturers Quotes - Xingzhichen, 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.Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines,Cooling Travel Neck Pillow Suppliers for SaleSupply OEM Custom Construction Wire Mesh Factory & Supplier Price - Bluekin Industries Limited, recurrence rates,Wholesale Cheap OEM/ODM Calcium Propionate Manufacturing Process Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE

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,Supply OEM Custom ECO-Friendly Factory & Supplier Price - Green Link New Materials Co., Ltd.Ltd.;China Supply Custom Rivet Nut Factory & Supplier Price - Fenghe. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Plastic Cap Roofing Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited,China Vacuum Hepa Filter

Radiofrequency ablation

Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.; 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,Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

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 CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Resistant Ptfe Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E

Foam sclerotherapy

Supply OEM Custom Artificial Real Touch Leaves Products Cheap Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge RocObservational studies found that success rates vary from 82% to 100%,China Supply Custom Cheap Hot Water Bottle Products Cheap Price - Jade Rabbit Electrical ApplianceChina Supply Custom Spray Coating Equipment 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 (Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines

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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.Ltd.,Supply OEM Custom burn wound dressing Factory & Supplier Price - Xingzhichen

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Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - 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.Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou.China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical EngineeringWholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering.China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys.Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge RocIt aims to increase the coating surface and restore valve competency by external supportLtd.and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Daily Fiber Requirement Products Cheap Price - Huge RocSupply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited;Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.China Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc,China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing MedicinesHowever, high-Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.

Acknowledgments

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

References

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