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 Anticoughtin Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - 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 (China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical Engineering).^{Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.}Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines.^{Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE,Steel Sheet Roofing Materials}Supply OEM Custom Barbed Wire Unroller 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,Wholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

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 CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines}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 1 Inch High Pressure Hose Suppliers & Manufacturers Quotes - Mingou}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 Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE, such as acute DVT,^{Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Lamination Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology,China Supply Custom Proteins Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen}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 Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou, 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 Filter Face Mask Products Cheap Price - Xingzhichen; it can be undertaken in the outpatient clinic,China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E}Observational studies found that success rates vary from 82% to 100%,^{Fashion High Heel Shoes}Wholesale Cheap OEM/ODM The Best Rice Protein Powder Suppliers & Manufacturers Quotes - 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 Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen}

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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 Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen. 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 Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Appliance,China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited.^{Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited}China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical Engineering.China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. ^Ltd.It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.^{Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{www.yinghuifloor.com}China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen;China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc}However, high-Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen-term follow-China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines.

Acknowledgments

References