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).^{Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe. 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 China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited).^{China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.}Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines.^{Wholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM High Quality Sodium Saccharine Products Cheap Price - Huge Roc}China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - 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,Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen.

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.^{Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance,Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines}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 Wheat Dietary Fiber Products Cheap Price - Huge Roc}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 Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen, such as acute DVT,^{Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.—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 Rivet Nut Factory & Supplier Price - Fenghe}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.^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - 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 Fence Post Concret Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Pvc Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited}Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - 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 CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc}

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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 Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe. 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 Organic Sprouted Brown Rice Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE.^Ltd.Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc.China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE.China Supply Custom Sewage Hose Factory & Supplier Price - Mingou. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Cable Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology}Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap Price - Huge Roc;Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc, Ltd.}However, high-Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen-term follow-China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc.

Acknowledgments

References