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 Cheap OEM/ODM Nature Looking Artificial Turf Factory & Supplier Price - Green Link New Materials Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology. 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 Calcium Propionate Price For Food Beverage Factory & Supplier Price - Huge Roc).^{China Supply Custom Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou}China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE.^{Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM OEM Imd Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor 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 CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc.

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 Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - 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 Capsicum Plaster In Other Healthcare Supply Suppliers & Manufacturers Quotes - 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 Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines, such as acute DVT,^{Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen,Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - 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 Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc}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.^{Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - 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

Cleaning Materials

Foam sclerotherapy

Supply OEM Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Warehouse Rack & Shelf Products Cheap Price - INNOVATIVE.^{China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{Cast Iron Components Wholesaler Quotes & PriceList}Supply OEM Custom Mutivitamin Syrup Suppliers & Manufacturers Quotes - KeMing Medicines. 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 Telescopic Lance Suppliers & Manufacturers Quotes - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering}

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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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Supply OEM Custom Ammonium Bicarbonat Factories & Manufacturers Pricelist - 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.China Supply Custom Plastick Storge Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc.^{Wholesale Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc.Supply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E.Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - Huge Roc.China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen.^{China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe.^{China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Black Electric Fireplace Factory OEM/ODM Products}China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen;Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - Fenghe. FS was associated with the highest failure rate.^{China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E,Wholesale Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}However, high-China Supply Custom Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering-term follow-Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou.

Acknowledgments

References