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Abstract

Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE. 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 Bakers Ammonia Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou.China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical Engineering.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical EngineeringRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.Supply OEM Custom Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge RocHigh 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 Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering(EVLA),China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge RocChina Supply Custom Medical Alginate Dressing For Wound Care Products Cheap Price - Xingzhichen

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).China Supply Custom Ptfe Wire For Sensor Applications Ul 1180 Factory & Supplier Price - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. 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 Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited). Ltd.Wholesale Cheap OEM/ODM The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Ltd.,Wholesale Cheap OEM/ODM Artificial Turf For Football Field Suppliers & Manufacturers Quotes - Green Link New Materials Co.Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - 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,Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen.

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 There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVESymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Appliance, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, 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,Alumina Ceramic Guidebecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,Wholesale Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical Engineering—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 Motorcycle Face Mask Factory & Supplier Price - XingzhichenThe 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 Spray Machine For Paint Factory & Supplier Price - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou, 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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Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited. Alternatively,Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines

Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen, 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 Cutting Edge Factory & Supplier Price - Fenghe,Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology,m.chinappwovenbags.comChina Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines, recurrence rates,Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines

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,Supply OEM Custom Mini Football Field Artificial Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc;Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - 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.Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc,Supply OEM Custom Cheapest Hair Removal Wax Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

Radiofrequency ablation

Wholesale CE High Quality Brown Rice Protein Benefits 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,Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Ltd.,Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge Roc

Foam sclerotherapy

China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Welding Rod 3.15 Mm Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing MedicinesObservational studies found that success rates vary from 82% to 100%,1600 Tons Of Hydraulic Press Suppliers for SaleSupply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery. 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.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - 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.Ltd.,Cotton Tight Yoga Pants

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Wholesale Cheap OEM/ODM Hydraulic Hose High Pressure Suppliers & Manufacturers Quotes - Mingou. 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.China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM Mi Thermocouple Cable Factories & Manufacturers Pricelist - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge RocSupply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Plastic Wheeled Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Fence Barb Wire Arm Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Cooling Stickers Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.It aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicinesand has not gained large popularity due to its efficacy. However,China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,www.aokaiwellscreen.comWholesale Cheap OEM/ODM What Foods Are High In Fiber List Products Cheap Price - Huge Roc.China Supply Custom Max Protein Factories & Manufacturers Pricelist - Huge Roc;China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical EngineeringHowever, high-Wholesale Cheap OEM/ODM Nestable Plastic Packaging Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale CE High Quality Armature Testing Panel Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..

Acknowledgments

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

References

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