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

Supply OEM Custom Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom Plastic Crates Hinged Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%. Ltd.Risk 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 Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines–Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge RocHigh 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 Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited(EVLA),Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),China Supply Custom Unflavored Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc–Wholesale Cheap OEM/ODM Benzoyl Metronidazole Oral Suspension Factory & Supplier Price - KeMing Medicines

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 Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs TechnologyThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - 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 Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.).Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYSupply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Pt1000 Fuhler Factories & Manufacturers Pricelist - FOD Electrical EngineeringWholesale Cheap OEM/ODM Gun-Fix Automatic Uv Paint Spraying Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering; 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,China Supply Custom Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.

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 Cheap OEM/ODM Hanging Conveyor System Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, 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,Mexican Electric Sprayerbecause 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 Hot Sale Plastic Pallet Unfoldable Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Plastic Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., such as acute DVT,China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc,China Supply Custom 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines—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 Orthodontic Face Mask Suppliers & Manufacturers Quotes - 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.Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Storage Crate With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., 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 Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality sterile Factory & Supplier Price - XingzhichenIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen. Alternatively,Wholesale CE High Quality Plastic Dolly For Sale Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines

China Supply Custom Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering, 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.Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.,China Supply Custom Rivet Nut Factory & Supplier Price - Fenghe,Cell Phone Vibration MotorChina Supply Custom Armature Winder Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd., recurrence rates,Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE.Ltd.,Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - 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,Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines;Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - 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 hydrophilic gel Factory & Supplier Price - Xingzhichen,Dual Usb Car Charger

Radiofrequency ablation

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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 CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen,Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology

Foam sclerotherapy

Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe.Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong ToysObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Aluminum Foot Brackets Factories & Manufacturers Pricelist - Highpoint MachinerySupply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. Ltd.

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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.China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc,Built In Electric Fireplace Manufacturers Cheap Price

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Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge RocChina Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Automatic Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering;Supply OEM Custom Good Quality Powder Coating Line Products Cheap Price - FOD Electrical Engineering. FS was associated with the highest failure rate.Wholesale CE High Quality Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs TechnologyHowever, high-Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge Roc-term follow-China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc.

Acknowledgments

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

References

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