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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.
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 Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited–Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - 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 CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),China Supply Custom Isp Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc–Wholesale Cheap OEM/ODM Sodium Bicarbonate 99.2%Min Products Cheap Price - Huge Roc
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 Bosch Car Washer Factories & Manufacturers Pricelist - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Gold Detox Foot Patch 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 (Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.).China Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen.Supply OEM Custom High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Crawler Crane Suppliers & Manufacturers Quotes - FengheWholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; 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 CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited.
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 Multi Color Nail Drill Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Magnesium Vitamin B6 Tablet Factory & Supplier Price - KeMing Medicinesbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen, such as acute DVT,China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology,Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - 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.Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge RocThe 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 Rubber Floor Mats 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 Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc. Alternatively,Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe
China Supply Custom Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., 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.China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology,China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,China Supply Custom Expandable Hose Suppliers & Manufacturers Quotes - MingouWholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc, recurrence rates,Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge Roc
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 Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Adapter Products Cheap Price - Mingou;China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM High Pressure Nozzle Suppliers & Manufacturers Quotes - Mingou
Radiofrequency ablation
Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited; 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 Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd..
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 CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc,China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.
Foam sclerotherapy
Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYObservational studies found that success rates vary from 82% to 100%,Bluetooth Ski HelmetWholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.
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 Plain Protein Powder Products Cheap Price - Huge Roc,Supply OEM Custom Iphone7 Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology
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Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen. 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.China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs TechnologyChina Supply Custom Wooden Wall Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.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 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. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.It aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Watercolor Painting Set Factory & Supplier Price - Unionrise I&Eand has not gained large popularity due to its efficacy. However,Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering
Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Inlet Water Filter Suppliers & Manufacturers Quotes - MingouChina Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited;Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc,China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical EngineeringHowever, high-Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines-term follow-Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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