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Abstract

China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale Cheap OEM/ODM Gi Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality 18 Gauge Binding Wire Specifications Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Organic Pea Powder Factory & Supplier Price - Huge Roc.

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 Games Manufacturer Products Cheap Price - Unionrise I&ERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint MachineryWholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.(EVLA),Wholesale Cheap OEM/ODM 1 1/4 Steel Strapping Suppliers & Manufacturers Quotes - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Final Forming Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge RocCnc Metal 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).Wholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys. 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 Timber Shelving Units Factory & Supplier Price - INNOVATIVE).China Supply Custom Brass Adapter Products Cheap Price - MingouChina Supply Custom Lotion Emulsifying Machine Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited,Led Gloves DanceWholesale CE High Quality Medical Cold Compresses Factory & Supplier Price - 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,Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins. Ltd.,Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - MingouSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Mobile Shelves Factory & Supplier Price - INNOVATIVE, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Retail Shop Shelving 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,Wholesale CE High Quality Chromel Alumel Teflon Type Thermocouple Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineeringbecause 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 Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering, such as acute DVT,Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Bulk Pea Protein Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Motor Manufacturing Turn-Key Service Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.—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 Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.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.China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - 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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Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. Alternatively,Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Plastic Container Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc

Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited, 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 Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Ltd.,China Plastic Lunch Box FoodWholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen.Supply OEM Custom Warehouse Rack & Shelf Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance

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 Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd. Ltd.;Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc. 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 Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering,Supply OEM Custom Electronic Appliance Tinned Copper 200c 300v Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Radiofrequency ablation

Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY; 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 Vitamin D Tablets Factory & Supplier Price - 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.Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou

Foam sclerotherapy

China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Electric Outboard MotorWholesale CE High Quality Natural Fiber Products Cheap Price - Huge Roc. 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 Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE

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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.

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 Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Chicken Coop Galvanized Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited

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Supply OEM Custom Waterproof Bathroom Carpet 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 Industrial Infrared Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines.China Supply Custom Curling Iron Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Raw Brown Rice Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology.Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical EngineeringIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technologyand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology

Overall, all management modalities appear to be safe and effective in the short term and midterm,Carpet For Hotel RoomSupply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance.Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering;Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge RocHowever, high-Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited-term follow-Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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

References

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