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).^{Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines. 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 (Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co.).^{Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Eye Mask Sleep Factory & Supplier Price - Xingzhichen.^{Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Dry Fit Gym Wear Manufacturers Cheap Price}Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs 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,Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

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.^{Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - Huge Roc}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,^{Wholesale CE High Quality Hydroxyde Aluminium Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines}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 Artificial Palm Tree Leaves Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,^{China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Plastic Collapsible Crates For Plates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen—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. ^Ltd.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.^{Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited, 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 Electric Hand Warmer Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance; it can be undertaken in the outpatient clinic,Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{M10 Connector Factory & Manufacturer}Wholesale Cheap OEM/ODM Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials 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 Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc}

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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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Wholesale Cheap OEM/ODM Diamond Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Nature Looking Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.,Supply OEM Custom Mutivitamin Syrup Factory & Supplier Price - KeMing Medicines.^{Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Lecithin Supplement Factory & Supplier Price - Huge Roc.Supply OEM Custom Beauty Face Mask Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Thermocouple Compensation Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc.^{Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Corrugated Roofing Nails Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Natural Hydrolyzed Rice Protein Suppliers & Manufacturers Quotes - Huge Roc}Wholesale Cheap OEM/ODM Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Artificial Big Green Leaves Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Facial Patch Mask Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.^{China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE,Ltd.}However, high-China Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology-term follow-Supply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

References