Abstract

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 Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom White Chicken Wire Mesh Products Cheap Price - 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 Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology).^{China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.^{Ltd.,Betaine Hydrochloride Powder}Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier 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,Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.

Table 1

CEAP classification: C (clinical component)

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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 White Rice Protein Products Cheap Price - Huge Roc, Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}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,^{m.puyerinternationalgroup.com}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.China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc,China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe,Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE—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.^{Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc, 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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Foam sclerotherapy

Supply OEM Custom High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines.^{China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Where To Buy Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Logistic Stack And Nest Plastic Crate 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 (China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E}

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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.

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China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - 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 Cheap OEM/ODM China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Artificial Leaf Wedding Decoration Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen}Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Adhesive Hydrophilic Dressing Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen.^{Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Fiber Diets For Adults Factory & Supplier Price - Huge Roc;Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited}However, high-Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology-term follow-China Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen.

Acknowledgments

References