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).^Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE. 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 CE High Quality Welding Rod 3.15 Mm Factory & Supplier Price - Bluekin Industries Limited).^{Supply OEM Custom Galvanized Steel Mesh Products Cheap Price - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe.^{Wholesale Cheap OEM/ODM Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,Wholesale Cheap OEM/ODM Protein Isolate Products Cheap Price - Huge Roc}China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap 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,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.

Table 1

CEAP classification: C (clinical component)

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 Cheap OEM/ODM K Type Thermocouple Compensation Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe}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 strip dressing Factories & Manufacturers Pricelist - Xingzhichen}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.Supply OEM Custom Acne Mask Factory & Supplier Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited—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.^{China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE}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.^{China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE). And massive bleeding due to injury to femoral veins,Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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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Foam sclerotherapy

China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.^{Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{Diy Cnc Router Machine}Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc. 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 Face Paint Factory & Supplier Price - Unionrise I&E). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}

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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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Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire 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 Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines.^{China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - Xingzhichen}Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology.China Supply Custom Injection Machine Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen. ^Ltd.It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - Mingou}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Machining Parts Brass}Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.;China Supply Custom High Soluble Fiber Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys}However, high-Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited-term follow-China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc.

Acknowledgments

References