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).^{China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.).^{Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines}China Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc.^{Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering,Endless Hose Clamp}China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - 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,China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.

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 Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou,Wholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Soy Lecithin 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 New Design Foldable Plastic Factory & Supplier Price - Zhongyi Plastic Technology Co.}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 Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,^{China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines,Supply OEM Custom Soy Lecithin Factory & Supplier Price - 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 Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc}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.^{Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Low Price Natural Soya Bean Lecithin 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

Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE.^{Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}Observational studies found that success rates vary from 82% to 100%,^{10.1inch capactitive touch lcd}China Supply Custom Sewage Hose Factory & Supplier Price - 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 (Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited}

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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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China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - 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.Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap Price - Huge Roc.^{Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen}Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen.China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.Supply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited.^{China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Apple Usb C To Usb Factory OEM/ODM Products}Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen.Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc;Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.^{China Supply Custom Farm Fence Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited}However, high-Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc-term follow-Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou.

Acknowledgments

References