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 China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc).^{Wholesale CE High Quality Lecithin Supplement Factory & Supplier Price - Huge Roc}Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.^{Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Benzoyl Metronidazole Factories & Manufacturers Pricelist - KeMing Medicines}Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited; 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 Bicarb Soda Uses Factory & Supplier 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 Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines, Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited}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,^{chinapucornice}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 Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE, such as acute DVT,^{China Supply Custom Vitamin B Complex Syrup Factory & Supplier Price - KeMing Medicines}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe,China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY—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.^Ltd.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.^{China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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 Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Observational studies found that success rates vary from 82% to 100%,^{6mm2 mc4 connector}China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials 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 Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. ^Ltd.

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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 Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen. 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 Face Paint Factory & Supplier Price - Unionrise I&E,China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E.Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines.^{China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology.^{Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Church Party Tent}China Supply Custom Injection Machine Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.;Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance,Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen}However, high-Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen-term follow-Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen.

Acknowledgments

References