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Abstract

Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE. 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 China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc.Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen.Wholesale CE High Quality Best Rice For Protein Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - 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%.Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries LimitedRisk 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 Vitamin C Brands Products Cheap Price - KeMing MedicinesSupply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVEHigh 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 Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited(EVLA),Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&EWholesale CE High Quality Calm Paster Products Cheap Price - Xingzhichen

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 Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering. 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 Diamond Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY).Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - FengheChina Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,China Yellow Color Spider CraneWholesale CE High Quality Multi Color Nail Drill Factory & Supplier Price - 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,China Supply Custom New Energy Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment 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.Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Hard Drawn Wire 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,Ltd.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 Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines, such as acute DVT,Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineeringpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc,Supply OEM Custom Craft Products Cheap Price - Unionrise I&E—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 Where To Buy Lecithin Products Cheap 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. Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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 Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures. Ltd.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. Alternatively,China Supply Custom Fever Plaster Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc

Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - 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 Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Vitamin C Brands Products Cheap Price - KeMing MedicinesSupply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE, recurrence rates,China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering

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 Solid Fold Up Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen;Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Ltd.,China Alumina Ceramic Lined Elbow Pipe

Radiofrequency ablation

Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.; 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 Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering.

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 Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE,Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines

Foam sclerotherapy

Supply OEM Custom AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou; it can be undertaken in the outpatient clinic,China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs TechnologyObservational studies found that success rates vary from 82% to 100%,China Supply Custom Best Sources Of Protein Products Cheap Price - Huge RocChina Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology 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 Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE

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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 Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited,hbzhongrunfelt.com

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China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited. 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 Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen.Supply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical ApplianceIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fengheand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Bottle For Hot Water Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceWholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Hinged Lid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.;Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE,Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing MedicinesHowever, high-China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E-term follow-Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou.

Acknowledgments

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

References

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