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 CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology 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 (China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc).^{Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited}China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,Black Square Steel Pipe High Quality Supplier}China Supply Custom Vitamin B9 Products Cheap Price - 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,Supply OEM Custom Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - 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.^{Wholesale Cheap OEM/ODM Warehouse Pallet Racking Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&E, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Elite Protein Powder 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,^{Wholesale Cheap OEM/ODM Antibiotic And Antimicrobial Agents Factory & Supplier Price - KeMing Medicines}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 Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, such as acute DVT,^{Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E,Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire 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.^{Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology}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 Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - 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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Foam sclerotherapy

China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc; it can be undertaken in the outpatient clinic,Supply OEM Custom Galvanized Steel Mesh Products Cheap Price - Bluekin Industries Limited.^{Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Stranded Conductor Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials 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 Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. ^Ltd.

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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 Flowers Artificial Products Cheap 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.China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance.^{China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited}China Supply Custom Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys.Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Best Sources Of Dietary Fiber Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Professional Hair Straightener Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Clotrimazole Products Cheap Price - KeMing Medicines.^{Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Fiberglass Splash Pads Factories & Manufacturers Pricelist - Shanghai Mutong Toys}China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - Huge Roc.Supply OEM Custom Mezzanine Level Suppliers & Manufacturers Quotes - INNOVATIVE;Wholesale Cheap OEM/ODM Timber Shelves Factories & Manufacturers Pricelist - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited}However, high-China Supply Custom Carbon Steel Parts Products Cheap Price - Fenghe-term follow-Wholesale CE High Quality Automatic Metal Parts Powder Coating Line Factories & Manufacturers Pricelist - FOD Electrical Engineering.

Acknowledgments

References