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 The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Artificial Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. 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 Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE).^{China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited}Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc,Carved Cross Holy Bible Bag}Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery; 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 Wax Warmer Kit 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.^{Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe}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 Sodium Cyclamate Quality Suppliers & Manufacturers Quotes - Huge Roc}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 Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE, such as acute DVT,^{China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Plastic Crates Hinged Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys,Wholesale CE High Quality Hard Drawn Wire 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.^{China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}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 Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap 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 Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Price Thermoforming Machines Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen. 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 Watercolor Painting Set Factory & Supplier Price - Unionrise I&E). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering}

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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 Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc. 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 Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering,China Supply Custom Armature Winder Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..^{Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines}Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc.Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E.Supply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co., Ltd..^{Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc}It 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,Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe.^{Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Stainless Steel 304 Plate}Supply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE;Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines}However, high-Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering-term follow-Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering.

Acknowledgments

References