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Abstract

Supply OEM Custom ECO-Friendly Factory & Supplier Price - Green Link New Materials Co., Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Rivet Nut Factory & Supplier Price - Fenghe.Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Artificial Real Touch Leaves Products Cheap Price - Green Link New Materials Co., Ltd..

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 Buy Calcium Propionate Products Cheap Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical EngineeringSupply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.High ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc(EVLA),China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines.China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen2018 New Product Rapid Prototype

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 Kinesiology Paster Medical Suppliers & Manufacturers Quotes - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Make Up Female Mannequin 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 (Ltd.).Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVEWholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,For HTCWholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou; 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 Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

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 Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology,Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - 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,Wholesale Cheap OEM/ODM Antibacterial Face Mask Factories & Manufacturers Pricelist - Xingzhichenbecause 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 Automated Conveyor System Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys, such as acute DVT,China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Nail Product 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.China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical EngineeringThe 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 Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - 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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Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - FengheIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. Alternatively,Wholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance

Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe, 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 CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc,Cheap Leather BeltsChina Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc

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 CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.China Supply Custom Pvc Hose Factory & Supplier Price - Mingou;Supply OEM Custom Acne Mask Factory & Supplier 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 Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Karcher Nozzle Suppliers & Manufacturers Quotes - Mingou

Radiofrequency ablation

Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; 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 CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - 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.Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen

Foam sclerotherapy

Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,16x2 Lcd Factory OEM/ODM ProductsSupply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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 Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen

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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.Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,Wholesale Cheap OEM/ODM Antibiotics Oral Suspension Factory & Supplier Price - KeMing Medicines

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Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - 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 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 Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines.Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.It aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Rocand has not gained large popularity due to its efficacy. However,Supply OEM Custom Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen.China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Oxytetracycline Injection Factory & Supplier Price - KeMing MedicinesWholesale Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&E.China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering;China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. FS was associated with the highest failure rate.China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries LimitedHowever, high-Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E.

Acknowledgments

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

References

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