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Abstract

Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou. 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 Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries LimitedRisk 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 Antimalarials Factory & Supplier Price - KeMing Medicines–Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - XingzhichenHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou(EVLA),China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance. Ltd.–Pe Foam Sheet Liminating Machine

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 Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - 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 (China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc).Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - Huge Roc,China Supply Custom Artificial Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering; 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 Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited.

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 Pain Relief Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&EHowever, 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,Ltd.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 CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines, such as acute DVT,Wholesale Cheap OEM/ODM Hand Warmer Packs Factory & Supplier Price - Jade Rabbit Electrical Appliancepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - 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 Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology Co.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 Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVEIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Foam Sprayer Factory & Supplier Price - Mingou). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - 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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Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance. Alternatively,China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc

Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - 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 Very High Fiber Foods Factory & Supplier Price - Huge Roc,China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Buy Pea Protein Powder Online Products Cheap Price - Huge RocSupply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc, recurrence rates,Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe.Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

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 Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries LimitedLtd.;Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen. 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 Construction Steel Strap Products Cheap Price - Bluekin Industries Limited,China Wholesale High Efficient Geothermal Heat Pump

Radiofrequency ablation

Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - 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 Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc.

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 White Rice Protein Products Cheap Price - Huge Roc, Ltd.,Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology

Foam sclerotherapy

Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - MingouObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Galvanized Wire Mesh Wire Fencing Factory & Supplier Price - Bluekin Industries LimitedWholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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 (Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY

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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.

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.Wholesale CE High Quality Tablets Antibiotic Medicine Factory & Supplier Price - KeMing Medicines,Ltd.

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China Supply Custom Whey Rice Factories & Manufacturers Pricelist - 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 Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc.Ltd.China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Ltd.It aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE.China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,430 Stainless Steel Wire MeshWholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE.China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering;China Supply Custom Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.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&EHowever, high-Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen-term follow-Wholesale CE High Quality Vitamin E Capsules Products Cheap Price - KeMing Medicines.

Acknowledgments

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

References

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