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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Supply OEM Custom Solid Fold Up Plastic Crate 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 Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering.Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou.
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 CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - 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 Medical Sterilization Paster Factory & Supplier Price - Xingzhichen–China Supply Custom Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc(EVLA),China Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.–Wholesale CE High Quality Welded Wire Mesh Sizes Products Cheap Price - Bluekin Industries Limited
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 Tornado Gun Suppliers & Manufacturers Quotes - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited. 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 Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E).China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries LimitedWholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc.China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen,China Supply Custom Wooden Shelves Factories & Manufacturers Pricelist - INNOVATIVEWholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - 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,China Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen.
Table 1
CEAP classification: C (clinical component)
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 Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - 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,Ltd.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 Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines, such as acute DVT,China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited—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 Motto Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedThe 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. Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - 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
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Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Vitamin B9 Products Cheap Price - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E. Alternatively,Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou.Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen
Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering, 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 Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing Medicines,Supply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery,Wholesale Cheap OEM/ODM Black Painted Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries LimitedWholesale Cheap OEM/ODM Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd., recurrence rates,Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Flexible Hose Factory & Supplier Price - Mingou,Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering
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,Wholesale Cheap OEM/ODM Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology;China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials 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 Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines,Alma Laser Soprano Hair Removal
Radiofrequency ablation
Supply OEM Custom Crates And Skates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; 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,Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Cell Phone Case And Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology,Wholesale Cheap OEM/ODM Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc
Foam sclerotherapy
Wholesale Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology.China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Observational studies found that success rates vary from 82% to 100%,www.jmheatexchanger.comWholesale Cheap OEM/ODM Packing Crates 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 (Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering
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 Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc,Hdpe Pipe Conveyor Roller
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Overall, all management modalities appear to be safe and effective in the short term and midterm,By Dealer - Cnc Wood Turning LatheChina Supply Custom Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY;China Supply Custom Brass Adapter Products Cheap Price - Mingou. FS was associated with the highest failure rate.Wholesale CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc,Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing MedicinesHowever, high-Supply OEM Custom Metal Parts Products Cheap Price - Fenghe-term follow-Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
