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Abstract

Wholesale CE High Quality Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%. Ltd.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Ltd.Ltd.High ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance(EVLA),Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical EngineeringWholesale CE High Quality 9 Gauge Chain Link Fence Factory & Supplier Price - Bluekin Industries Limited

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 Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVEThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen. 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 (China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited).Wholesale Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc.China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen,For Porsche Car Key CaseWholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - 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,Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing MedicinesHowever, 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.joinhome-sales.combecause 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 School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe, such as acute DVT,Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E,Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou—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 Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal TechnologyThe 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.China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines). And massive bleeding due to injury to femoral veins,China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou. Alternatively,Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc

Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering, 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.Ltd.,Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc,Coated Iron Wire For FenceChina Supply Custom Isp Products Cheap Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines

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,China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen Ltd.;Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Featured Products

Radiofrequency ablation

Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited; 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,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.,Ltd.,Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen; it can be undertaken in the outpatient clinic,China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.Observational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM 44-9 - Soluble Saccharin Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc. 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 (China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees 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.

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.Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering,China Supply Custom Vegan Rice Powder Factory & Supplier Price - Huge Roc

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Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Antibiotic Factory & Supplier Price - KeMing Medicines,Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYWholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - MingouIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineeringand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality 25mm Steel Strapping Products Cheap Price - Bluekin Industries LimitedWholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc;Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge RocHowever, high-Wholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

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

References

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