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 Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Calcium Propionate Manufacturing Process 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 (Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen).^{Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Supply OEM Custom ECO-Friendly Factory & Supplier Price - Green Link New Materials Co., Ltd..^{China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering,China Supply Custom Car Spray Booth Oven Products Cheap Price - FOD Electrical Engineering}China Supply Custom Rivet Nut Factory & Supplier Price - Fenghe; 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 Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..

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. ^{Ltd.,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc}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,^{Supply OEM Custom Non Gmo Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc}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 Artificial Real Touch Leaves Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc, such as acute DVT,^{Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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.^{Supply OEM Custom 5-Bar Aluminum Floor Plates 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 Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier 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

Wholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou}Observational studies found that success rates vary from 82% to 100%,^m.qj-ec.comWholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe. 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 Artemisinin 99% Factory & Supplier Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Good Hair Straightener Brush Products Cheap 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.

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Supply OEM Custom Nail Led Lamp 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 Storage Plastic Crate Black Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Acne Mask Factory & Supplier Price - Xingzhichen.^{Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..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 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.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - Huge Roc.^{Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Timber Shelving Systems Products Cheap Price - INNOVATIVE}Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.;Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE,Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc}However, high-Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited-term follow-China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd..

Acknowledgments

References