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 CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. 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 Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.).^{Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc}Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc,Cheap Plywood Used For Packaging}Wholesale Cheap OEM/ODM Flexible Hose Factory & Supplier Price - Mingou; 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 Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc.

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 Sleep Mask Products Cheap Price - Xingzhichen,Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe}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 Cheap OEM/ODM Electric Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}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 Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering, such as acute DVT,^{Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc,China Supply Custom Chain Link Fence Cage Products Cheap Price - Bluekin Industries Limited,China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal 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 Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc}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. ^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering, 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 Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{China Supply Custom Farm Fence Products Cheap Price - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom alginate mask Factory & Supplier Price - Xingzhichen}Supply OEM Custom Sodium Saccharin Food Grade 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 (Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co.}

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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 Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines. 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 Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou,Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines.^{Supply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.}Supply OEM Custom Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc.Supply OEM Custom Multi-Function Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.^{Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Bathroom Tile Design}Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology;Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.^{China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe, Ltd.}However, high-China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering-term follow-Wholesale CE High Quality Ring Shank Nail Products Cheap Price - Bluekin Industries Limited.

Acknowledgments

References