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 Watercolor Painting Set Factory & Supplier Price - Unionrise I&E}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering).^{Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc.^{China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering,Farmstar Tractors}China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E; 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,China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE.

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 Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc,Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}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,^{China Supply Custom Pea Protein For Pets Factory & Supplier Price - Huge Roc}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 CE High Quality Artificial Leaf Stem Factory & Supplier Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance, such as acute DVT,^{Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen,China Supply Custom Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou—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 Vitamin C Brands Products Cheap Price - KeMing Medicines}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 Grocery Shelves Factory & Supplier Price - INNOVATIVE}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E). And massive bleeding due to injury to femoral veins,China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

High Accuracy Biological Microscope

Foam sclerotherapy

China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Inkjet Digital Printing Machine}China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 ( Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc}

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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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Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc. 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 Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,China Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen.^{Wholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - Huge Roc}Wholesale CE High Quality Corrugated Paper Display Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE.Supply OEM Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc.Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen.Wholesale CE High Quality Best Rice For Protein Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc.^{China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Where To Buy Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc}Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines;Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE}However, high-China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology-term follow-Wholesale CE High Quality Multi Color Nail Drill Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References