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Abstract

Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap 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%.Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - MingouRisk 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 Plastick Storge Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co. Ltd.High 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 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY(EVLA),Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines(RFA), foam sclerotherapy (FS),China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical EngineeringWholesale CE High Quality Funny Hot Water Bottles Suppliers & Manufacturers Quotes - 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 Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong ToysThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical Appliance. 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 Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E).China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge RocWholesale CE High Quality Natural Fiber Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc,Ltd.Wholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical Engineering; 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,Supply OEM Custom Waterproof Bathroom Carpet Products Cheap Price - Green Link New Materials Co., Ltd..

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.China Supply Custom Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint Machinery,Wholesale CE High Quality Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Industrial Infrared Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHowever, 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,Cosmetic Sample Bottlesbecause 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 Amoxicillin Factory & Supplier Price - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines, such as acute DVT,Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Raw Brown Rice Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc—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.Supply OEM Custom High Fiber Grains Factory & Supplier Price - 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 Sand Blasting Gun Products Cheap Price - MingouIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering, 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 Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance. Alternatively,Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen

Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - 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 Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc,Supply OEM Custom Unfolding Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Wholesale CE High Quality Artificial Turf Golf Factory & Supplier Price - Green Link New Materials Co., Ltd..China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited

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,Supply OEM Custom Gangkai Non Woven Surgical Face Masks Factory & Supplier Price - XingzhichenWholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM Best Sources Of Fiber In Food Products Cheap Price - 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.Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe,Supply OEM Custom Beauty Paper Facial Mask Factories & Manufacturers Pricelist - Xingzhichen

Radiofrequency ablation

China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance; 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 CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe,Supply OEM Custom Vitamin B Complex Factory & Supplier Price - KeMing Medicines,Ltd.

Foam sclerotherapy

Wholesale CE High Quality Roll Products Cheap Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering.Supply OEM Custom Painting Palette Factories & Manufacturers Pricelist - Unionrise I&EObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Patio Cleaner Suppliers & Manufacturers Quotes - MingouChina Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. 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 (Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys

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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.China Supply Custom Isp Products Cheap Price - Huge Roc,Supply OEM Custom Adult Craft Suppliers & Manufacturers Quotes - Unionrise I&E

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Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E. 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.Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge RocWholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co.It aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technologyand has not gained large popularity due to its efficacy. However,China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Splash Pads For Kids Factories & Manufacturers Pricelist - Shanghai Mutong ToysWholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering;Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co.,China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical ApplianceHowever, high-Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou.

Acknowledgments

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

References

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