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 Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd.. 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 (Ltd.).^{Supply OEM Custom Ammonium Bicarbonat Factories & Manufacturers Pricelist - Huge Roc}Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc.^{Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines,Energy Saving Led Panel}Wholesale Cheap OEM/ODM Buy Stackable Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology 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,Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen.

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.^{China Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicines,Wholesale CE High Quality Fire Resistant Cable Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge Roc}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,^{ritecmachine.com}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 Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc, such as acute DVT, ^Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&E—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 Metal Parts Products Cheap Price - Fenghe}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.^{China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - Huge Roc, 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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Foam sclerotherapy

Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.^{China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - 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 (China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.}

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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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China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials 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 Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE.Wholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering.Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Modular Office Shelving Products Cheap Price - INNOVATIVE}Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc;China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Pvc Hose Factory & Supplier Price - Mingou}However, high-Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering-term follow-Wholesale Cheap OEM/ODM Lamination Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.

Acknowledgments

References