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 Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Healthcare Plaster Factory & Supplier Price - 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 ( Ltd.).^{Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines}Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited,Protein Powder Bulk}China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen; 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 Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

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 Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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,^{Strap With Plastic Buckle}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 Fiber Diets For Adults Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,China Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen,Wholesale CE High Quality Corrugated Paper Display Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.—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 Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology}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 Disposable Printed Face Mask Products Cheap Price - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Ltd.

Foam sclerotherapy

Wholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe; it can be undertaken in the outpatient clinic,China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines.^{China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe}Observational studies found that success rates vary from 82% to 100%,^{Ozito High Pressure Cleaner}Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing Medicines. 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 ( Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering}

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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 Craft Products Cheap Price - Unionrise I&E. 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 Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE}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.Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE.^{Wholesale CE High Quality Multi Color Nail Drill Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.}and has not gained large popularity due to its efficacy. However,China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Lid Attached Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Ceramic 3 Compartment Plates High Quality Supplier}Supply OEM Custom Solid Fold Up Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering;Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Whey Protein Products Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge Roc}However, high-China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering-term follow-Supply OEM Custom AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou.

Acknowledgments

References