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Abstract

Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier 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 Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe.Wholesale Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen.

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 Hanging Conveyor System Suppliers & Manufacturers Quotes - FOD Electrical EngineeringRisk 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 Rehabilitation Products Suppliers & Manufacturers Quotes - XingzhichenWholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh 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 Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines.China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.Wholesale Cheap OEM/ODM Heat Pain Relief Plaster Products Cheap Price - Xingzhichen

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 Orthodontic Face Mask Suppliers & Manufacturers Quotes - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc. 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 Floor Mats Factory & Supplier Price - Green Link New Materials Co.).Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical ApplianceWholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen,Wholesale CE High Quality Artist Material Manufacturer Products Cheap Price - Unionrise I&EChina Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc; 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 Whey Rice Factories & Manufacturers Pricelist - Huge Roc.

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 Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.,China Supply Custom Rivet Nut Factory & Supplier Price - FengheSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Ltd.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,Graphite Oxide Resistant Electrodebecause 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 Feed Grade Rice Protein Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.,China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials 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.Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing MedicinesThe 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 hydrophilic gel Factory & Supplier Price - XingzhichenIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines, 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 Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Medical Patch Factories & Manufacturers Pricelist - XingzhichenIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE. Alternatively,China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology

Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen, 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 Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys,Supply OEM Custom Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,China Supply Custom Plaster For Injury Suppliers & Manufacturers Quotes - XingzhichenWholesale CE High Quality Vitamin E Capsules Products Cheap Price - KeMing Medicines, recurrence rates,Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines. Ltd.,Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines

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 Red Rice Protein Factory & Supplier Price - Huge RocChina Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Flat Panel Tv Ceiling Mount

Radiofrequency ablation

China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE; 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 What Is Fiber Good For Suppliers & Manufacturers Quotes - 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 Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE,Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou,China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc

Foam sclerotherapy

Supply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge RocObservational studies found that success rates vary from 82% to 100%,China Supply Custom Studded T Fence Post Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom Cheap Whey Protein Powder Factories & Manufacturers Pricelist - 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 (Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

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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.Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality Pain Relief Plaster Factory & Supplier Price - Xingzhichen

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China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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.Supply OEM Custom Small Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringWholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - Huge Roc.Supply OEM Custom Soybeans Protein Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge RocIt aims to increase the coating surface and restore valve competency by external support Ltd.and has not gained large popularity due to its efficacy. However,China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Rice Protein Powder Benefits Suppliers & Manufacturers Quotes - Huge RocWholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou;Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines,China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal TechnologyHowever, high-China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou-term follow-China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc.

Acknowledgments

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

References

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