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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - 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%.China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE–China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.(EVLA),Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc–Soy Protein Powder,Soy Protein Isolate,Isolated Soy Protein,Injectable Soy Protein,Dispersive Soy Protein
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 Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVE. 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 Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited).China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge RocWholesale CE High Quality Hot Sell Folding Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines,Hank Yarn Multi Color Dyeing MachineChina Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - 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,Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering.
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 Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVEHowever, 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 Wrought Iron Fence Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limitedbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT, Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE—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 Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint MachineryThe 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 Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal TechnologyIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou. Alternatively,China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY
China Supply Custom Container House Prefab Houses 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.Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Surgical Face Mask Products Cheap Price - XingzhichenChina Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen
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,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE Ltd.;Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Ltd.,m.sinoriseind.com
Radiofrequency ablation
Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou; 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,China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc
Foam sclerotherapy
Wholesale Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Cabinet Paint Drying Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering.Supply OEM Custom Artificial Plants Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.Observational studies found that success rates vary from 82% to 100%,Supply OEM Custom Chicken Coop Hexagonal Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries LimitedChina Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited. 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 Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited
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.Wholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicines,Baby Shower Decorations And Favors
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Overall, all management modalities appear to be safe and effective in the short term and midterm,High Strength Wear Resistant Steel PlateChina Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou.Wholesale Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.;Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology. FS was associated with the highest failure rate.Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE,China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries LimitedHowever, high-China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited-term follow-Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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