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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou. 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 Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines.Supply OEM Custom Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc.Supply OEM Custom Multi-Function Plastic Crate With Lid Factories & Manufacturers Pricelist - 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%.Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge RocRisk 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 Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering–Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&EHigh 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 Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou(RFA), foam sclerotherapy (FS),China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen–Products

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 Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 Painless Dressing Products Cheap Price - Xingzhichen).Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&EWholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery,Wholesale Cheap OEM/ODM High Pressure Compressor Air Hose Suppliers & Manufacturers Quotes - MingouWholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology; 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,Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - 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 CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVEHowever, 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,Miniature Blow Mouldingsbecause 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 Ring Shank Nail Products Cheap Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering, such as acute DVT,China Supply Custom Brass Adapter Products Cheap Price - Mingoupregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe,Supply OEM Custom Nature Looking Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.,Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - 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 Waxed Steel Strapping Products Cheap Price - Bluekin Industries LimitedThe 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.Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,China Supply Custom Where Can I Get Sodium Bicarbonate 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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China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - MingouIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE. Alternatively,Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Farm Fence Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE

Wholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge Roc, 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 Iron Wire Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,www.madcmotor.comWholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery, recurrence rates,Supply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVE.China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited

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 Artificial Palm Trees Products Cheap Price - Green Link New Materials Co., Ltd.Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc;Wholesale Cheap OEM/ODM Artemisinin 99% 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.Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Steel Strap Fixing Factories & Manufacturers Pricelist - Bluekin Industries Limited

Radiofrequency ablation

Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen; 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 Organic Protein Shake Products Cheap Price - 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 Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Ltd.,Supply OEM Custom Warehouse Rack & Shelf Products Cheap Price - INNOVATIVE

Foam sclerotherapy

Wholesale Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceObservational studies found that success rates vary from 82% to 100%,China Supply Custom Paraffin Wax Warmer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYWholesale CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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 Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering

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 Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Cheap Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.

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Wholesale Cheap OEM/ODM Where Can I Get Baking Soda 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 CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys,Supply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe.Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - MingouWholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Logistic Plastic Crate With Lid Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Watercolor Painting Set Factory & Supplier Price - Unionrise I&E. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.and has not gained large popularity due to its efficacy. However,Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE

Overall, all management modalities appear to be safe and effective in the short term and midterm,250ml Diffuser BottleWholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E.Supply OEM Custom Blackhead Removal Face Mask Suppliers & Manufacturers Quotes - Xingzhichen;Supply OEM Custom Gear Products Cheap Price - Fenghe. FS was associated with the highest failure rate.China Supply Custom Sewage Hose Factory & Supplier Price - Mingou,Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedHowever, high-China Supply Custom Artificial Plants And Trees Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.-term follow-Wholesale CE High Quality Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe.

Acknowledgments

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

References

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