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Abstract

China Supply Custom Plastic Crate Alibaba China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Expendable Thermocouple Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Weight Of Iron Nails Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Roc.

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 Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical EngineeringRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVEChina Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom OEM Mobile Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology(EVLA),Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines(RFA), foam sclerotherapy (FS),Supply OEM Custom 1L Foam Lance Factory & Supplier Price - Mingou.Wholesale Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.Cat Tree House Pink

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).China Supply Custom Motorcycle Face Mask Factory & Supplier Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Adhesive Plaster Suppliers & Manufacturers Quotes - 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 (Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical Engineering).Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge Roc,High Pressure Steam CleanerWholesale CE High Quality Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines; 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 Car Spray Booth Paint Cabinet Baking Oven Products Cheap Price - FOD Electrical Engineering.

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 Cutting Edge Factory & Supplier Price - Fenghe,Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal TechnologySymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge RocHowever, 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,Supply OEM Custom Double Gear Suppliers & Manufacturers Quotes - Fenghebecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines, such as acute DVT,Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicinespregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc—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.Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - 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.Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - 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,Wholesale CE High Quality Large Plastic Crate Box 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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Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. Alternatively,Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen.Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge Roc

Wholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe, 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 Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines, Ltd.,China Supply Custom Outdoor Gym Equipemnt Products Cheap Price - Shanghai Mutong ToysWholesale CE High Quality Good Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.

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,China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge RocLtd.;Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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.Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Moving Plastic Crate For Storage Products Cheap Price - Zhongyi Plastic Technology Co.

Radiofrequency ablation

Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E; 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 Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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 Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.,China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.

Foam sclerotherapy

Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - Mingou; it can be undertaken in the outpatient clinic,China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing MedicinesObservational studies found that success rates vary from 82% to 100%,m.brairsuspension.comChina Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials 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 (Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

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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 On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality Dough Suppliers & Manufacturers Quotes - Unionrise I&E

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China Supply Custom Storage Used Crate 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.Supply 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.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge RocChina Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE.Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Supply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Rocand has not gained large popularity due to its efficacy. However,Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE.Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,5 Bbl Brewing System Suppliers for SaleWholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited;Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc,Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge RocHowever, high-China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering-term follow-Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines.

Acknowledgments

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

References

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