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Abstract

China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Fever Plaster Factories & Manufacturers Pricelist - Xingzhichen.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - XingzhichenSupply OEM Custom Timber Shelving Units 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,Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology(EVLA),Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom Brass Adapter Products Cheap Price - MingouDiesel Air Compressor With Jack Hammer

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 Waxed Steel Strapping Products Cheap Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Ptfe Teflon Wire Factory & Supplier 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 (Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering). Ltd.Supply OEM Custom Solid Fold Up Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou,Bonding MachineWholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering; 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 CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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.Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co.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,Wholesale Cheap OEM/ODM High Fiber Whole Foods Suppliers & Manufacturers Quotes - Huge Rocbecause 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 AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc, such as acute DVT,Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Construction Steel Strap 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.Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier 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.Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier 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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China Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen; 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.Supply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. Alternatively,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.Supply OEM Custom Warehouse Rack & Shelf Products Cheap Price - INNOVATIVE

Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance, 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 Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance, Ltd.,Supply OEM Custom Timber Shelving Design Suppliers & Manufacturers Quotes - INNOVATIVEChina Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering,Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

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,Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing MedicinesWholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited;Wholesale CE High Quality Hinged Lid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou,Glass Tv Stand With Mount

Radiofrequency ablation

Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines; 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 Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E.

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 Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE

Foam sclerotherapy

Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited.China Supply Custom Sewage Hose Factory & Supplier Price - MingouObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Aluminum Automobile Parts Factories & Manufacturers Pricelist - Highpoint MachinerySupply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Curling Iron Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

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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 Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Restored Wood Shelves Products Cheap Price - INNOVATIVE

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Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc. 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 Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs TechnologySupply OEM Custom Crates And Skates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E.Wholesale Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Packing Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Rocand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines.China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Baking Powder Factory & Supplier Price - Huge RocWholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - Huge Roc.China Supply Custom Multicolor Artificial Green Leaf Products Cheap Price - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge RocHowever, high-Wholesale CE High Quality Electric Hot Pack Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance-term follow-Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

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

References

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