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 Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Infusion Stickers Factories & Manufacturers Pricelist - Xingzhichen. 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 Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE). ^Ltd.Wholesale CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVE.^{Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery,Ceramic Kitchen Utensils/Wares}Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen; 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 Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - 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.^{Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc,Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Welded Wire Mesh 9 Gauge Factory & Supplier Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}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 K Type Thermocouple Compensating Extension Wire Factory & Supplier Price - FOD Electrical Engineering}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 Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Ammonium Hydrogen Carbonate Msds Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^{Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E,China Supply Custom Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY—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.^{Supply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - 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 Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen). And massive bleeding due to injury to femoral veins,China Supply Custom Factory & Supplier Price - INNOVATIVE, 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

China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance.^{Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Yuyu Hot Water Bottle Products Cheap Price - Jade Rabbit Electrical Appliance}Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - 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 (Wholesale Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}

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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 Cheap OEM/ODM First Aid Wound Dressing 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.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.^{Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering}Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc.Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe.Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou.^{Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Pea Whey Protein Powder Products Cheap Price - Huge Roc}China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E,Supply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering}However, high-Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou-term follow-Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References