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Int Surg. 2015 Jan; 100(1): 185–189.
doi:Fabric
PMCID:PMC4301287
PMID:China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc

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Abstract

Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou. 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 Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Carbon Steel Parts Products Cheap Price - FengheRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines–China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines(EVLA),China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Ring Shank Nail Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&E–Metric Male 24° Cone Seat L.T./H.T.

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 Alginate Fiber Wound Dressings Products Cheap Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. 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 V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc).China Supply Custom Mirror Polished Aluminum Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal TechnologyChina Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe.Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc,Vacuum Insulated Water BottleSupply OEM Custom Nature Looking Artificial Turf Products Cheap Price - Green Link New Materials 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,Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - 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. Ltd.,Wholesale CE High Quality Ivermectin Injection 1% Veterinary Medicine Products Cheap Price - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Where Can I Get Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Non-Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries LimitedHowever, 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,m.acrubberfactory.combecause 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 Modular Metal Shelving Suppliers & Manufacturers Quotes - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical Engineering, such as acute DVT,Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineeringpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE,Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited,China Supply Custom Farm Fence Products Cheap Price - 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.Wholesale CE High Quality Hair Curler Suppliers Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYThe 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 Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical ApplianceIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM 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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Supply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVE; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVEIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Artificial Palm Trees Products Cheap Price - Green Link New Materials Co., Ltd.. Alternatively,Wholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Wholesale CE High Quality Organic Protein Shake Products Cheap Price - Huge Roc, 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 Artificial Turf Golf Factory & Supplier Price - Green Link New Materials Co.,Wholesale CE High Quality Artificial Leaf Craft Factories & Manufacturers Pricelist - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Multipurpose Pp Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited

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 CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs TechnologyWholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - Green Link New Materials Co.;Supply OEM Custom Organic Pea Protein Powder Bulk Suppliers & Manufacturers Quotes - 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.China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Sheep Mesh Price Factories & Manufacturers Pricelist - Bluekin Industries Limited

Radiofrequency ablation

Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - 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 CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys.

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 Factory & Supplier Price - INNOVATIVE,Ltd.,China Supply Custom Where Can I Get Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

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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.China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Wall Wooden Shelves Products Cheap Price - INNOVATIVE

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China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - 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 Watercolor Painting Set Factory & Supplier Price - Unionrise I&E,Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge Roc.China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYSupply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E.Supply OEM Custom Blackhead Removal Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom Gear Products Cheap Price - Fenghe.China Supply Custom Artificial Plants And Trees Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical EngineeringIt aims to increase the coating surface and restore valve competency by external support Ltd.and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Power Cable Manufacturers Products Cheap Price - FOD Electrical Engineering

Overall, all management modalities appear to be safe and effective in the short term and midterm,10m Aluminium Work PlatformWholesale CE High Quality Eye Mask Sleep Factory & Supplier Price - Xingzhichen.Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology;Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.Ltd.,China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries LimitedHowever, high-Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc-term follow-Wholesale CE High Quality Artificial Palm Tree Leaves Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..

Acknowledgments

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

References

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