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 Biological Dressing Products Cheap Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen. 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.).^{Supply OEM Custom Kitchen Wire Shelving Factory & Supplier Price - INNOVATIVE}China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering.^{China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality 10:1 20:1/Cinchona Bark Extract/Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines}Supply OEM Custom Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; 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,China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines.

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., Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe}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,^{Supply OEM Custom C6h12nnao3s - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc}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 Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, such as acute DVT,^{China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines—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 Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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 Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Supply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - 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

Cold Forging Parts

Foam sclerotherapy

China Supply Custom Vitamin C Deciency Syrup Products Cheap Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Supply OEM Custom Galvanized Steel Wire Mesh 3mm Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliance}Observational studies found that success rates vary from 82% to 100%,^{Weight Empty 750ml Wine Glass Bottle}Wholesale Cheap OEM/ODM Field Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 (China Supply Custom 9w Uv Nail Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). 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 Hotsell Soccer Artificial Turf Products Cheap Price - 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.Wholesale Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines,China Supply Custom Electrical Wire Flat Cable Products Cheap Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited}China Supply Custom Professional Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou.Wholesale Cheap OEM/ODM Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Sstorage Turnover Large Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^Ltd.and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Large Plastic Crate Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Anti-Slip Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.}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. FS was associated with the highest failure rate.^{Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen}However, high-Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc-term follow-China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery.

Acknowledgments

References