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

China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials 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 Neural Relaxation Patch Products Cheap Price - Xingzhichen.Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen.China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVE.

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 Veterinary Injection Factory & Supplier Price - KeMing MedicinesRisk 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 Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe–Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.High 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 Sheep Mesh Price Products Cheap Price - Bluekin Industries Limited(EVLA),Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),China Supply Custom Blue Color Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY–Wholesale Cheap OEM/ODM Stator Varnish Plant Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.

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 Medical Cold Compresses Factory & Supplier Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - 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 (Wholesale CE High Quality Electric Hot Pack Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance).Wholesale Cheap OEM/ODM Adhesive Plaster Suppliers & Manufacturers Quotes - XingzhichenChina Supply Custom Lamination Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou,Wholesale CE High Quality Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Pvc Hose Factory & Supplier Price - Mingou; 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 First Aid Wound Dressing 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.Supply OEM Custom Ammonium Bicarbonat Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Antibiotic Products Cheap Price - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Surgical Dressing Membrane Factories & Manufacturers Pricelist - XingzhichenHowever, 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,Supply OEM Custom Nail Tool Dry Heat Sterilizer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYbecause 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 Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge Roc, such as acute DVT,China Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicinespregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou,Wholesale CE High Quality Ratary Brush Factories & Manufacturers Pricelist - Mingou,Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines—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 Fire Resistant Cable Suppliers & Manufacturers Quotes - FOD Electrical EngineeringThe 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 Pet Protein Factories & Manufacturers Pricelist - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - 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 Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Metal Parts Products Cheap Price - FengheIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc. Alternatively,Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering

China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc,China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering,Durable Heavy Duty Screen PrinterSupply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc, recurrence rates,China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen

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 Top Level Vital Wheat Gluten Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen;China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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.Ltd.,Gi Steel Pipe

Radiofrequency ablation

China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - 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 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe

Foam sclerotherapy

Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen; it can be undertaken in the outpatient clinic,Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Packing Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries LimitedWholesale CE High Quality Plastic Storage Boxes For Storage Clothes 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 (Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited

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 Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering,m.sunviea-electric.com

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China Supply Custom White Rice Protein Products Cheap 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 Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou,China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines.Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen.Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys.Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fengheand has not gained large popularity due to its efficacy. However,China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance

Overall, all management modalities appear to be safe and effective in the short term and midterm,Cnc Metal Folding Machine Wholesaler Quotes & PriceListWholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering.China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou;Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge RocHowever, high-Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE-term follow-Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

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

References

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