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Abstract

China Supply Custom Plastic Net Baskets Factory & Supplier Price - Zhongyi Plastic Technology 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 Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology 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%. Ltd.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc–China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing MedicinesHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines(EVLA),Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Ltd.–China Supply Custom Cable Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology

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 Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology. 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 (China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance).China Supply Custom Whey Rice Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou,10a 220v Power CordWholesale CE High Quality 22 Awg Wire Factory & Supplier 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,Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines.

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 Led Nail Uv Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co.Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing MedicinesHowever, 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,Square Duct Flange Forming Machine Manufacturers Cheap Pricebecause 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 Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Plastic Crate With Foldable Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E,Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines,Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology—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 Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYThe 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 Ratary Brush Factories & Manufacturers Pricelist - MingouIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou). And massive bleeding due to injury to femoral veins,China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc, 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 Antimalarials Factory & Supplier Price - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Plastick Storge Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge Roc. Alternatively,Wholesale CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. Ltd.

Wholesale Cheap OEM/ODM Plastic Net Baskets Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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.Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering,China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys,China Supply Custom Injection Oxytetracycline Factory & Supplier Price - KeMing MedicinesChina Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicines, recurrence rates,Supply OEM Custom Galvanized Steel Wire Mesh 3mm Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E,China Supply Custom Muscle Whey Protein Factory & Supplier Price - 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 Cheap OEM/ODM Field Fence Suppliers & Manufacturers Quotes - Bluekin Industries LimitedWholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc;Supply OEM Custom Vitamin B Complex Factory & Supplier Price - KeMing Medicines. 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 Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - Huge Roc,Pipe Fittings Union

Radiofrequency ablation

Supply OEM Custom Hotsell Soccer Artificial Turf Products Cheap Price - Green Link New Materials 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 Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery,Wholesale CE High Quality Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.,Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance

Foam sclerotherapy

China Supply Custom Electrical Wire Flat Cable Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,China Supply Custom Professional Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,ldkchinaSupply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou. 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 (Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Sand Blasting Gun Products Cheap Price - Mingou

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Raw Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc

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Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Sstorage Turnover Large Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - XingzhichenWholesale Cheap OEM/ODM Large Plastic Crate Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen.Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery.Wholesale Cheap OEM/ODM Ptfe Teflon Cable Products Cheap Price - FOD Electrical EngineeringIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery.China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,300cm Standard Usb Cable 25Wholesale CE High Quality Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge Roc;China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge RocHowever, high-Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Plastic Crates With Hinged Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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

References

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