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 sterile Factory & Supplier Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Good Quality Powder Coating Line Products Cheap Price - FOD Electrical Engineering. 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 Antibiotic Factory & Supplier Price - KeMing Medicines).^{Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.}Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge Roc.^{China Supply Custom Rivet Nut Factory & Supplier Price - Fenghe,Supply OEM Custom Black Annealed Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc; 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 Perfect Whey Protein Factory & Supplier Price - Huge Roc.

Table 1

CEAP classification: C (clinical component)

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 Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.,Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen}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 Wood Spray Painting Booth Oven Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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.Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited, such as acute DVT,^{Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E,Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe—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.^{China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen}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 Order Phone Case Products Cheap Price - Shenzhen Hxs Technology}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE, 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 Alloy Steel Parts Factory & Supplier Price - Fenghe; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE.^{Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom High Purity Saccharin Sodium Products Cheap Price - Huge Roc}Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc. 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 (Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}

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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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Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E.^{China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE.Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Artificial Leaf Stem Factory & Supplier Price - Green Link New Materials Co., Ltd..China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - Huge Roc.^{Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Plastic Mulch Laying Machine}China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines.Supply OEM Custom High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering;Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines. FS was associated with the highest failure rate.^{Wholesale CE High Quality Armature Testing Panel Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited}However, high-Wholesale CE High Quality Logistic Stack And Nest Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd..

Acknowledgments

References