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).^{Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines. 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 Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited).^{China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.^{Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Electrical Cable Products Cheap Price - FOD Electrical Engineering}Supply OEM Custom Single Wire 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 Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

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 Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys}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 Container Houses For Sale In Kenya Suppliers & Manufacturers Quotes - 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.China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines, such as acute DVT,^{Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou,Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology—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 Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines}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 Daily Dietary Fiber Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - 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

Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc.^{China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Custom Labels For Nail Polish Factories & Manufacturers Pricelist - Bluekin Industries Limited}Supply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E. 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 (Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Plastic Wire Factory & Supplier Price - 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 Bakers Ammonia Factory & Supplier Price - 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.Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen.^{China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe.China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - Fenghe.China Supply Custom Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou.^{Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Sodium Bicarbonate Factory Price Suppliers & Manufacturers Quotes - Huge Roc}China Supply Custom Plastic Crate Alibaba China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Expendable Thermocouple Factory & Supplier Price - FOD Electrical Engineering;Wholesale Cheap OEM/ODM Weight Of Iron Nails Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology}However, high-Supply OEM Custom Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Roc.

Acknowledgments

References