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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge Roc. 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 Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom Bicarbonate Supplement 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.Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen–Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - 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,Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc(EVLA),Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc–Ltd.

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 CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe. 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 Black Metal Steel Strapping Products Cheap Price - Bluekin Industries LimitedWholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E.Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Eye Mask Sleep Products Cheap Price - XingzhichenSupply OEM Custom Building Nails Factory & Supplier Price - 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 Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou.

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 Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Sun9s Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYHowever, 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 Children Play Games Products Cheap Price - Unionrise I&Ebecause 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 Plain Protein Powder Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,China Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou,Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited—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 Cooling Stickers Factories & Manufacturers Pricelist - XingzhichenThe 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 Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - 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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Wholesale Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Antimalarials Factory & Supplier Price - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen. Alternatively,Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen

Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery, 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. Ltd.,Wholesale CE High Quality Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Spray Painting Machine In Low Price Suppliers & Manufacturers Quotes - FOD Electrical EngineeringChina Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen, recurrence rates,China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen.China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.

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,China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge RocWholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale Cheap OEM/ODM Stihl Gun Adapter Factory & Supplier Price - Mingou,Wholesale Cheap OEM/ODM Tractor Backhoe Loaders Factories & Manufacturers Pricelist - Fenghe

Radiofrequency ablation

Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited; 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 Antibiotic Factory & Supplier Price - KeMing Medicines.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&E

Foam sclerotherapy

Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Hand Warmer Packs Factory & Supplier Price - Jade Rabbit Electrical ApplianceObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Cell Phone Case And Accessories Products Cheap Price - Shenzhen Hxs TechnologyWholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc. 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 Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - 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.

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.Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge Roc,China Supply Custom Ir Heating Oven Factory & Supplier Price - FOD Electrical Engineering

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Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc. 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 Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge RocWholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Rocand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology

Overall, all management modalities appear to be safe and effective in the short term and midterm,Thermal Picnic BackpackWholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Muscle Protein Powder Suppliers & Manufacturers Quotes - Huge Roc;Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Ltd.However, high-China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE-term follow-Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd..

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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