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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou. 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 Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.
Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance– Ltd.High ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.(EVLA),Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen(RFA), foam sclerotherapy (FS),China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc–2 Ton Mini Telescopic Loader
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 Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge Roc. 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 CE High Quality Pea Protein Reviews Products Cheap Price - Huge Roc).Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.Supply OEM Custom Mini Football Field Artificial Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale CE High Quality Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge RocSupply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - 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 Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc.
Indication and Contraindication of Treatment for Varicose Veins
The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - MingouSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.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 Sodium Cyclamate Manufacturers Products Cheap Price - Huge Rocbecause 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 Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale CE High Quality Welding Rod 3.15 Mm Factory & Supplier Price - Bluekin Industries Limited, such as acute DVT,China Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery,Wholesale CE High Quality Surgical Dressing Membrane Factories & Manufacturers Pricelist - Xingzhichen,Wholesale Cheap OEM/ODM Hydraulic Hose High Pressure Suppliers & Manufacturers Quotes - Mingou—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 High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical EngineeringThe 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 Kid Drawing Board Products Cheap Price - Unionrise I&EIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Multi Color Nail Drill Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
Table 2
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Supply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM The Best Rice Protein Powder Suppliers & Manufacturers Quotes - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Plastic Wheeled Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Fence Barb Wire Arm Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE
Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc, 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.China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Antibiotic Medicine Products Cheap Price - KeMing MedicinesChina Supply Custom Cooling Stickers Factories & Manufacturers Pricelist - Xingzhichen, recurrence rates,China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY
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,Wholesale Cheap OEM/ODM What Foods Are High In Fiber List Products Cheap Price - Huge RocSupply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines;China Supply Custom Max Protein Factories & Manufacturers Pricelist - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe,Ltd.
Radiofrequency ablation
China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc; 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,Wholesale Cheap OEM/ODM Nestable Plastic Packaging Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology,China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering
Foam sclerotherapy
Wholesale CE High Quality Armature Testing Panel Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,American Style HatsSupply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering. 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 (China Supply Custom Adapter Products Cheap Price - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc
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.China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen,www.hanyingcultural.com
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Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&E. 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 Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology,Wholesale CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Supply OEM Custom Mirror Polished Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom 9w Uv Nail Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Aluminium Casting CNC Suppliers & Manufacturers Quotes - Highpoint Machinery.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.and has not gained large popularity due to its efficacy. However,Supply OEM Custom Bicarbonate Sodium/Sodium Bicarbonate Food Grade Factories & Manufacturers Pricelist - Huge Roc.Ltd.
Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Welded Wire Mesh 9 Gauge Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM Artificial Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge RocHowever, high-Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE-term follow-Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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