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 Black Mud Facial Mask Factory & Supplier Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. 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 Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen).^{Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE}Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Clear Span Aluminum Tent}Wholesale CE High Quality Plastic Collapsible Crates For Plates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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,China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - 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.^{China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited, 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,^{www.realtopmachinery.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 Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc,Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - 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.^{China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines}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.^{Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Design Plastic Crate Factory & Supplier Price - 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

Supply OEM Custom Mutivitamin Syrup Factory & Supplier Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Lecithin Supplement Factory & Supplier Price - Huge Roc.^{Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Supply OEM Custom Beauty Face Mask Products Cheap Price - Xingzhichen. 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 Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.}

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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 Thermocouple Compensation Wire Products Cheap Price - FOD Electrical Engineering. 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 Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE,China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc.^{Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited}China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Artificial Big Green Leaves Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Facial Patch Mask Products Cheap Price - Xingzhichen.China Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E. ^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Pallet Racking Shelving For Sale Factory & Supplier Price - INNOVATIVE}Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou.Wholesale CE High Quality Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY;China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen,Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc}However, high-Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou-term follow-Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited.

Acknowledgments

References