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 CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited. 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 Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering).^{Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery.^{China Supply Custom Pvc Hose Factory & Supplier Price - Mingou,Astragalosides}China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen; 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 hemostasis Factory & Supplier Price - 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 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}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen}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,^{China Supply Custom Plastic Crate For Tomato Products Cheap Price - Zhongyi Plastic Technology Co.}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 Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,^{Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines,Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc—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 Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}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 Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Whey Protein Powder Benefits 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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Foam sclerotherapy

Wholesale CE High Quality Muscle Protein Powder Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen.^{Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Max Protein Factory & Supplier Price - Huge Roc}China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE. 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 Automatic Metal Parts Powder Coating Line Factories & Manufacturers Pricelist - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E}

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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 Wooden Wall Shelves Suppliers & Manufacturers Quotes - INNOVATIVE. 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 Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited,China Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.^{Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering}Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Hand Warmers Gloves Products Cheap Price - Jade Rabbit Electrical Appliance}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Party Foam Cannon Products Cheap Price - Mingou}Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.;China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE. FS was associated with the highest failure rate. ^{Ltd.,Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc}However, high-Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References