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).^{Wholesale Cheap OEM/ODM Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited. 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 Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc).^{China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E,m.jshd-medical.com}Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing 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,Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.

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 Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.}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,^{Vitamin C Serum Hyaluronic Acid Supplier & Manufacturer}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 Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd., such as acute DVT,^{China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE—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 CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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.^{Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., 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

China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines}Observational studies found that success rates vary from 82% to 100%,^{m.pvthink.com}China Supply Custom Container House Prefab Houses Products Cheap Price - 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 Timber Cube Shelves Factory & Supplier Price - INNOVATIVE). 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.

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Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc.^{Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou.China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical Engineering.Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering.China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen.^{Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Calcium Propionate 4075-81-4 Factories & Manufacturers Pricelist - Huge Roc}Wholesale Cheap OEM/ODM The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen. FS was associated with the highest failure rate.^{China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen}However, high-Supply OEM Custom Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Appliance-term follow-China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited.

Acknowledgments

References