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

Supply OEM Custom Organic Brown Rice 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 China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance.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.

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 Arthritis Pain Relief Products Cheap Price - XingzhichenRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc–Wholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge RocHigh 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 First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen(EVLA),Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM White Nuisance Face Mask Suppliers & Manufacturers Quotes - Xingzhichen–Ltd.

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 Facial Patch Mask Products Cheap Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier 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 (China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - Huge Roc).Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical EngineeringSupply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Organic Pea Protein Powder Bulk Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Washing Machine Parts Suppliers & Manufacturers Quotes - MingouWholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.; 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 Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe.

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 Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVESymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E, 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,Plunger/Frac Pump & Sparesbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou, such as acute DVT,Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh 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.Wholesale CE High Quality Calcium Propionate Uses 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.Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical EngineeringIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering. Alternatively,China Supply Custom Isp Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge Roc

China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen, 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.China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen,Wholesale CE High Quality Stator Powder Coating Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou,China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc

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 Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint MachineryWholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.;China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen. 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 CE High Quality Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Tpu Phone Case Definition Factory & Supplier Price - Shenzhen Hxs Technology

Radiofrequency ablation

China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen; 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 Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc.

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 Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale CE High Quality 18 Gauge Binding Wire Specifications Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.

Foam sclerotherapy

Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Logistic Plastic Crate With Lid Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.Observational studies found that success rates vary from 82% to 100%,Wholesale CE High Quality Nail Polish Packaging Factories & Manufacturers Pricelist - Bluekin Industries LimitedChina Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines. 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 Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. Ltd.

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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 Fiber Diets For Adults Factory & Supplier Price - Huge Roc,Peptides Ghrp

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Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - 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.Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines.Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - MingouSupply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicinesand has not gained large popularity due to its efficacy. However,Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,Indoor LED screenWholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Sodium Saccharin Uses Factory & Supplier Price - Huge Roc,Supply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical ApplianceHowever, high-Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering-term follow-Wholesale CE High Quality Muscle Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.

Acknowledgments

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

References

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