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

Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc. 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 Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Pea Protein Wholesale 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 CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited–China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - XingzhichenHigh 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 Whey Rice Factories & Manufacturers Pricelist - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology(RFA), foam sclerotherapy (FS),China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc. Ltd.–Polystyrene Cornice Moulding Manufacturers Cheap Price

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 Jet Power Pressure Washer Factories & Manufacturers Pricelist - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology 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 Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines).China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge RocWholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys,Wholesale Cheap OEM/ODM Barbed Wire Price Per Ton Factory & Supplier Price - Bluekin Industries LimitedChina Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY; 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 Synthenic Lawn Factories & Manufacturers Pricelist - 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.Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co.,Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong ToysSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Ltd.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,Supply OEM Custom Oem Custom Collapsible Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.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 Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE, such as acute DVT,Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE,China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering,China Supply Custom Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - 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 Dihydroartemisinin Products Cheap Price - KeMing MedicinesThe 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 Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries LimitedIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen, 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 Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong ToysIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc. Alternatively,Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines

Wholesale Cheap OEM/ODM What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc, 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 Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering,m.baiyipackage.comSupply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E,Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen

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 Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou;Supply OEM Custom Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Reusable Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

Radiofrequency ablation

China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology; 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,Supply OEM Custom Small Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..

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 Games Manufacturer Products Cheap Price - Unionrise I&E,Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery,Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge RocObservational studies found that success rates vary from 82% to 100%,Kraft Wrapping Paper RollsWholesale CE High Quality Orthodontic Face Mask 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 Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE

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.China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited,Hydraulic Platform Lift

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Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - 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.Supply OEM Custom Soybeans Protein Products Cheap Price - Huge Roc,Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringChina Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc.China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc. Ltd.It aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingouand has not gained large popularity due to its efficacy. However,China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE

Overall, all management modalities appear to be safe and effective in the short term and midterm,250ml 8oz unique flat pocket glass coffee bottleWholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.However, high-Supply OEM Custom Nested Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.-term follow-China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering.

Acknowledgments

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

References

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