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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - 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 Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Cfm Whey Protein 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%.Ltd.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited–Wholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - KeMing MedicinesHigh 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 Pea Protein Reviews Products Cheap Price - Huge Roc(EVLA),China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen–Supply OEM Custom Boots Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance

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 Protein Shake Recipes Factories & Manufacturers Pricelist - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - 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 (China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen).Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical EngineeringChina Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.,High Rise Steel Structure BuildingChina Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe; 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 Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys.

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 What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Ptfe Wire For Sensor Applications Ul 1180 Factory & Supplier Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries LimitedHowever, 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 Green Pea Protein Powder Products Cheap Price - Huge Rocbecause 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 Retail Shop Shelving Factory & Supplier Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou, such as acute DVT, Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Shaft Pressing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou—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.Ltd.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.Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering). And massive bleeding due to injury to femoral veins,Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Supply OEM Custom Infusion Stickers Factories & Manufacturers Pricelist - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVEIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVE. Alternatively,Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

Wholesale Cheap OEM/ODM Welded Wire Mesh 9 Gauge Factory & Supplier 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 Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.,China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen,Rf Isolator ManufacturersWholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology, recurrence rates,China Supply Custom Ammonium Hydrogen Carbonate Msds Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

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 Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&EChina Supply Custom Animal Protein Concentrate Products Cheap Price - Huge Roc;China Supply Custom Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. 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 Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines,China Supply Custom Steel Strapping For Steel Products Cheap Price - Bluekin Industries Limited

Radiofrequency ablation

Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - 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,China Supply Custom Factory & Supplier Price - INNOVATIVE.

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 Cutting Edge Factory & Supplier Price - Fenghe,Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology,China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

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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 Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc,Aluminum Checker Sheet

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China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. 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 Plastic Crate Storage Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Calcium Chloride Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge RocSupply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery.Wholesale CE High Quality Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing MedicinesIt 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 Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Reusable Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing Medicines;Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen. FS was associated with the highest failure rate.China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.,Ltd.However, high-Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited.

Acknowledgments

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

References

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