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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Vitamin E Capsules Products Cheap Price - KeMing Medicines.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Ltd.Risk 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 Grocery Store Shelves For Sale Factory & Supplier Price - INNOVATIVE–Wholesale CE High Quality Grader Factory & Supplier Price - FengheHigh 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 Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines(EVLA),Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Supply OEM Custom Rubber Hose Factory & Supplier Price - Mingou–U Lock Polycarbonate Sheet

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 Cheap OEM/ODM Weight Of Iron Nails Products Cheap Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE. 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 Kids Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance).Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge RocWholesale Cheap OEM/ODM What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Polo T Shirt LogoSupply OEM Custom Vanilla Rice Protein Products Cheap 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 Silver Brazing Welding Rod 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.Supply OEM Custom Mutivitamin Syrup Suppliers & Manufacturers Quotes - KeMing Medicines,China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing MedicinesHowever, 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,Turbo Diamond Disc For Concretebecause 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 Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, such as acute DVT,Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Small Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Remove Scar Dressing 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.China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing MedicinesThe 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 Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-t02.jpg

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Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Soybeans Protein Products Cheap Price - Huge Roc. Alternatively,Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen.China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co.

Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited, 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 Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering,Colored Glass TubingChina Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou, recurrence rates,Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen, Ltd.

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 Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - MingouChina Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines;China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc. 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 CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen,Ltd.

Radiofrequency ablation

China Supply Custom Pet Protein Factories & Manufacturers Pricelist - 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,Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.

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 Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance,Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE

Foam sclerotherapy

Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc.Ltd.Observational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Cheap Farm Fence Factory & Supplier Price - Bluekin Industries LimitedSupply OEM Custom Nested Plastic Crates Factories & Manufacturers Pricelist - 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 (Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM 1 1/4 Steel Strapping Suppliers & Manufacturers Quotes - Bluekin Industries Limited

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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 Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines,Dk-5524 Label

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Wholesale CE High Quality Ivermectin Injection 1% Veterinary Medicine Products Cheap Price - KeMing Medicines. 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 Burn Dressing Factories & Manufacturers Pricelist - Xingzhichen,Wholesale CE High Quality Tablets Antibiotic Medicine Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing MedicinesSupply OEM Custom Plastic Cap Roofing Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Hair Curler Suppliers Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.China Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Robot Spray Painting Machine Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing Medicinesand has not gained large popularity due to its efficacy. However,China Supply Custom What Is Whey Protein Isolate Products Cheap Price - Huge Roc.China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Isolated Soy Protein For Meat Use Products Cheap Price - Huge RocChina Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc.Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc;China Supply Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Chain Link Fence Cage Products Cheap Price - Bluekin Industries LimitedHowever, high-China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc-term follow-Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines.

Acknowledgments

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

References

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