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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage Factory & Supplier Price - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Logistic Plastic Crate With Lid Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - Huge Roc.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.

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 Brass Adapter Products Cheap Price - MingouRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited–Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHigh 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 What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E(RFA), foam sclerotherapy (FS),Supply OEM Custom Blackhead Removal Face Mask Suppliers & Manufacturers Quotes - Xingzhichen. Ltd.–www.realtopmachinery.com

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 Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Gear Products Cheap Price - Fenghe. 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 Retail Shop Shelving Factory & Supplier Price - INNOVATIVE).Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries LimitedChina Supply Custom Artificial Plants And Trees Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Discount Price Acd2050-2 - AC2030 - ZhuohuiWholesale CE High Quality Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe; 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 Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Eye Mask Sleep Factory & Supplier Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Vegetable Protein Isolate 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,China Supply Custom Pea Protein Price Suppliers & Manufacturers Quotes - Huge Rocbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Artificial Palm Tree Leaves Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY—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.Ltd.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 Warehouse Rack & Shelf Products Cheap Price - INNOVATIVEIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - 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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China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures. Ltd.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited. Alternatively,China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering

Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology, 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 Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM American Wire Mesh Fence Suppliers & Manufacturers Quotes - Bluekin Industries LimitedChina Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc, recurrence rates,Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE.Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou,Wholesale CE High Quality Hot Dip Galvanized Mesh Fence 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 Design Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.;Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen. 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 Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE,Heat Lamp For Plants

Radiofrequency ablation

Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical Engineering; 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 Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc.

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 Sewage Hose Factory & Supplier Price - Mingou,Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Curling Iron Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

Foam sclerotherapy

Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,China Supply Custom Curling Iron Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,D ShackleWholesale CE High Quality Plastic Crates With Cover Suppliers & Manufacturers Quotes - 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 (Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology

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.Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Roc,Music Box Tune

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Supply OEM Custom Price Of Isolated Soy Protein 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 Cheap OEM/ODM Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,China Supply Custom Veterinary Injection Factory & Supplier Price - KeMing Medicines.China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries LimitedWholesale Cheap OEM/ODM Diamond Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Nature Looking Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom Mutivitamin Syrup Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Lecithin Supplement Factory & Supplier Price - Huge Roc.Supply OEM Custom Beauty Face Mask Products Cheap Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical ApplianceIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Thermocouple Compensation Wire Products Cheap Price - FOD Electrical Engineering.China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Calories In Pea Protein Powder Suppliers & Manufacturers Quotes - Huge RocWholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE.China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc;China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering. FS was associated with the highest failure rate.Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries LimitedHowever, high-Wholesale Cheap OEM/ODM Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines-term follow-Wholesale Cheap OEM/ODM Artificial Big Green Leaves Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

Acknowledgments

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

References

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