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 Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Non-Gmo Pea Dietary Fiber 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 (Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery).^{Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance}Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering.^{Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Vitamin K1 Injectable Factories & Manufacturers Pricelist - KeMing Medicines}Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology; 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 Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - 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.^{Ltd.,Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention. ^Ltd.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 Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology}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 Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical Engineering}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Artificial Turf Golf Factory & Supplier Price - 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 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited}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 Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Gangkai Non Woven Surgical Face Masks Factory & Supplier Price - Xingzhichen, 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 High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..^{China Supply Custom Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou}Observational studies found that success rates vary from 82% to 100%,^{Smoke Detector Wholesale Price}China Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - 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 (Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}

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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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China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering.^{China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc.Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Buy Stackable Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen.^{Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Quinine Dihydrochloride Solution Products Cheap Price - KeMing Medicines}Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc;Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.^{Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc}However, high-Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

References