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Abstract

Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier 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 CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou.Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering.

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 Plaster For Rheumatism Suppliers & Manufacturers Quotes - XingzhichenRisk 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 Cheap T Post Factories & Manufacturers Pricelist - Bluekin Industries Limited–China Supply Custom Robot Spray Painting Machine Products Cheap Price - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys(EVLA),Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.(RFA), foam sclerotherapy (FS),China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Pvc Insulated And Sheathed Wires Factory & Supplier Price - FOD Electrical Engineering–Artificial Rice Machine

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 China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - 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 CE High Quality Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc).Wholesale CE High Quality Lecithin Supplement Factory & Supplier Price - Huge RocSupply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited,Decorative Sheet For WallWholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited; 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 Bicarb Soda Uses Factory & Supplier Price - Huge Roc.

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 Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines, Ltd.Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - 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,www.wwtpcn.combecause 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 Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE, such as acute DVT,China Supply Custom Vitamin B Complex Syrup Factory & Supplier Price - KeMing Medicinespregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe,China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY—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.China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - 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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Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Rice Protein Shake Factories & Manufacturers Pricelist - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc. Alternatively,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.

Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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.Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Heat Pain Relief Plaster Factory & Supplier Price - XingzhichenWholesale CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - Huge Roc, recurrence rates,Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc, Ltd.

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 Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines;China Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Sodium Cyclamate Distributor Products Cheap Price - Huge Roc,Ltd.

Radiofrequency ablation

Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines; 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 Metal T Post Factory & Supplier Price - Bluekin Industries Limited.

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 CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,China Supply Custom Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.

Foam sclerotherapy

China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Golf Course Factories & Manufacturers Pricelist - Green Link New Materials Co.China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.. 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 Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen,Small Hydraulic Power Unit

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Supply OEM Custom Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen. 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 Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&E,China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedChina Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E.Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.It aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichenand has not gained large popularity due to its efficacy. However,Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,A Type Layer Chicken CagChina Supply Custom Injection Machine Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.;Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance,Wholesale CE High Quality sterile Factory & Supplier Price - XingzhichenHowever, high-Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen-term follow-Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen.

Acknowledgments

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

References

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