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 CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc. 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 ( Ltd.).^{Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc}Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Medical Protective Face Mask Factory & Supplier Price - Xingzhichen}Supply OEM Custom Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe; 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 Children Foam Toys Products Cheap Price - Unionrise I&E.

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 What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge Roc}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 CE High Quality Lcd Auto Hair Curler Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}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 CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Mirror Polished Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology, such as acute DVT,^{China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Suppliers & Manufacturers Quotes - INNOVATIVE,China Supply Custom 9w Uv Nail Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines—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 Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen}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 Pvc Hose Factories & Manufacturers Pricelist - Mingou}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,China Supply Custom Natural Rice Protein Isolate Powder 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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Foam sclerotherapy

Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{China Colorful Glass}Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited. 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 99% Artemisinin Products Cheap Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - 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.

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Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,Wholesale Cheap OEM/ODM Gun-Fix Automatic Uv Paint Spraying Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^Ltd.China Supply Custom Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Hot Sale Plastic Pallet Unfoldable Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Plastic Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc.^{Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines.^{China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Test Tube}Wholesale Cheap OEM/ODM Storage Crate With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries Limited;Wholesale Cheap OEM/ODM Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen,Ltd.}However, high-Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen-term follow-Wholesale CE High Quality Plastic Dolly For Sale Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

References