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 Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - 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.).^{Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen}Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines.^{China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc,Supply OEM Custom Artificial Palm Leaves Factory & Supplier Price - Green Link New Materials Co.}China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc; 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 High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

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.^{China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen,Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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,^{China Supply Custom Bronze Welding Rod Products Cheap Price - Bluekin Industries Limited}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 Chain Link Fence Cage Products Cheap Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology, such as acute DVT,^{China Supply Custom Carbon Steel Parts Products Cheap Price - Fenghe}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering,China Supply Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd.,China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology—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 Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines}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.^{China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&E). And massive bleeding due to injury to femoral veins,Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - 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

China Supply Custom Foldaway Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines.^{Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom 12w Led Lamp Nail Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou. 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 Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - 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 Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. 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 CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc,Supply OEM Custom Multi-Function Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc}Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou.China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology.^{Supply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - Green Link New Materials Co.}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines.^{China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Wholesale Phone Cases Factory & Supplier Price - Shenzhen Hxs Technology}China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering.Wholesale CE High Quality Ring Shank Nail Products Cheap Price - Bluekin Industries Limited;China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. FS was associated with the highest failure rate.^{China Supply Custom Factory & Supplier Price - INNOVATIVE,Ltd.}However, high-China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe-term follow-Supply OEM Custom Nature Looking Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..

Acknowledgments

References