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Abstract

China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - 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 Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Bicarbonate Supplement 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%.Wholesale CE High Quality Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing MedicinesRisk 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 Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint MachineryWholesale Cheap OEM/ODM Flexible Hose Factory & Supplier Price - MingouHigh 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 Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc(RFA), foam sclerotherapy (FS),China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical EngineeringSupply OEM Custom Hot Sale Steel Strapping Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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 CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal TechnologyThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc. 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 Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines).China Supply Custom Cell Phone Case And Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyWholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Easy To Control Plastic Trolley Products Cheap Price - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen; 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 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology.

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 Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&ESymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical EngineeringHowever, 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 Folding Jib Aerial Working Vehicle Products Cheap Price - Fenghebecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom White Rice Protein Products Cheap Price - Huge Roc, such as acute DVT,Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou,China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines—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.Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - 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 Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,Supply OEM Custom Medical Face Mask 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 CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen. Alternatively,China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE.Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited

Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering, 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 CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc,Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines,China Supply Custom Cas No 8002-80-0 Vital Wheat Gluten Suppliers & Manufacturers Quotes - Huge RocChina Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou, recurrence rates,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc. Ltd.,Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - 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 Timber Shelving Units Factory & Supplier Price - INNOVATIVEWholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc;Supply OEM Custom Multifunction Electric Steamer 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.Wholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Spray Lance Factory & Supplier Price - Mingou

Radiofrequency ablation

Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited; 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 Disposable Printed Face Mask Products Cheap Price - Xingzhichen.

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 White Nuisance Face Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM Facial Patch Mask Products Cheap Price - Xingzhichen,China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - Huge Roc

Foam sclerotherapy

Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Iphone 8 Phone Case Suppliers Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyChina Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE. 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 Organic Pea Protein Powder Bulk Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Thhn Thwn Electrical Wire 16 Awg Suppliers & Manufacturers Quotes - 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.

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 CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE,Ltd.

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Wholesale CE High Quality Brown Rice Protein Supplement 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.China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc,China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. Ltd.China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc.Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines.Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,Bread Dough MixerChina Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou;Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology. FS was associated with the highest failure rate.Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical EngineeringHowever, high-Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc-term follow-Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

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

References

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