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).^{Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - 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 Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited).^{China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance.^{Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen,Birthday/christmas Gift}Wholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - 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,Supply OEM Custom Soy Protein Isolated Best Price Factory & Supplier Price - Huge Roc.

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.^{China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe,Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou}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 Radiant Heater Factory & Supplier Price - FOD Electrical Engineering}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 Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc, such as acute DVT,^{Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Artificial Sakura Tree Products Cheap Price - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY—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.^{Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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 (Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe, 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 Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..^{Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery}Observational studies found that success rates vary from 82% to 100%,^{Electromagnetic Latching Relay}Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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 Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Plant Based Pea Protein Powder 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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Wholesale CE High Quality Pea Protein Reviews Products Cheap 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.China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited}Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys.Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE.^{China Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou.^{Wholesale Cheap OEM/ODM Pea Protein Wholesale Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Lift Crane Truck}Wholesale Cheap OEM/ODM Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Shaft Pressing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.;Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou. FS was associated with the highest failure rate.^{China Supply Custom Lotion Emulsifying Machine Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E}However, high-Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance-term follow-Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE.

Acknowledgments

References