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

Wholesale CE High Quality Adhesive Hydrophilic Dressing Factories & Manufacturers Pricelist - Xingzhichen. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen.

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 Cheap OEM/ODM Car Care Cleaning 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.Ltd.–Supply OEM Custom Sun Nail Dryer Lamp 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,Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.(EVLA),China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Fiber Diets For Adults Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited–www.rfidfs.net

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 Tablets Antibiotic Medicine Factory & Supplier Price - KeMing MedicinesThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc. 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.).Ltd.Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,m.aoiekt.comChina Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen; 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 CE High Quality Corrugated Paper Display Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&ESymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Soya Lecithin Food Grade Factory & Supplier 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 Transparent Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichenbecause 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 China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen, such as acute DVT,Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical Engineeringpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Best Rice For Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier 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 Medical Sterilization Paster Factory & Supplier Price - XingzhichenThe 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 Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited, 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 Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - MingouIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology. Alternatively,Wholesale CE High Quality Multi Color Nail Drill Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom New Energy Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E

Wholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - 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.China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries Limited,China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen,China Supply Custom Apple Iphone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyWholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe, recurrence rates,China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen,Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE

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 Vitamin K1 Injectable Factory & Supplier Price - KeMing MedicinesWholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY;Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - 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 China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Surgical Disposable Face Masks Factory & Supplier Price - Xingzhichen

Radiofrequency ablation

Supply OEM Custom Craft Products Cheap Price - Unionrise I&E; 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,China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..

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 First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited, Ltd.

Foam sclerotherapy

Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - XingzhichenObservational studies found that success rates vary from 82% to 100%,fastlinepcbWholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Vitamin B9 Products Cheap Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen

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.Supply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery,China Supply Custom High Temperature Cable 400v Products Cheap Price - FOD Electrical Engineering

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Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology. 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 Max Protein Products Cheap Price - Huge Roc,Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale Cheap OEM/ODM Flexible Hose Factory & Supplier Price - MingouChina Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Solid Fold Up Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..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. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou.Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical EngineeringIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technologyand has not gained large popularity due to its efficacy. However,China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines

Overall, all management modalities appear to be safe and effective in the short term and midterm,On/Off Grid InverterChina Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc;China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.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.However, high-Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - KeMing Medicines.

Acknowledgments

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

References

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