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 Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 (Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou}China Supply Custom Concrete Steel Nail Factory & Supplier Price - Bluekin Industries Limited. ^{Ltd.,Electric Soft Play}Wholesale Cheap OEM/ODM Atv Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance; 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 Now Organic Pea Protein Products Cheap Price - Huge Roc.

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.^{Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Nature Looking Artificial Turf Factory & Supplier Price - Green Link New Materials Co.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage Factory & Supplier 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 Price Soy Protein Isolates For Meat Factory & Supplier Price - Huge Roc}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 Teflon 30awg Wire Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing Medicines, such as acute DVT,^{China Supply Custom Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc,Supply OEM Custom Conference Room Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc—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 CE High Quality Industrial Extension Wire 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.^{Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering, 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 Construction Wire Mesh Factory & Supplier Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Calcium Propionate Manufacturing Process Suppliers & Manufacturers Quotes - Huge Roc.^{Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{China Steel Square Pipe Roll Forming Machine}Supply OEM Custom ECO-Friendly Factory & Supplier Price - Green Link New Materials Co., Ltd.. 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 (Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE}

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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 Artificial Sports Turf Factory & Supplier Price - 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.Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Supply OEM Custom Artificial Real Touch Leaves Products Cheap Price - Green Link New Materials Co., Ltd..^{Supply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering}Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc.China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines.Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou.^{China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co.}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Corner Tv Stand}China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering;China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys. FS was associated with the highest failure rate.^{Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering,China Supply Custom Perfect Whey Protein Factory & Supplier Price - Huge Roc}However, high-Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.-term follow-China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Acknowledgments

References