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).^{Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials 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 Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited).^{Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc}Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,Supply OEM Custom Inslot Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.}Supply OEM Custom Artificial Real Touch Leaves 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 Where Can I Get Baking Soda Products Cheap Price - Huge Roc.

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 CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines}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,^{m.tysonleather.com}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.Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou,Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.—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 Industrial Aluminum Foil 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.^{Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Wire Fencing Materials 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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Foam sclerotherapy

China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Organic Soy Protein Powder Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - 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 Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited}

Ltd.

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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Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology 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.Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc}Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - Huge Roc.Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines.^{Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Commercial Potato Chips Fryer}Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd.;Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines}However, high-China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.-term follow-China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines.

Acknowledgments

References