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 Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom High Soluble Fiber Factory & Supplier Price - 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 Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen).^{China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE}Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc,Supply OEM Custom Rice Protein Content Factories & Manufacturers Pricelist - Huge Roc}China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc; 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 Galvanized Steel Mesh Products Cheap Price - Bluekin Industries Limited.

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.^{Ltd.,Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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,^{China Metal D20 Set}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 Neural Relaxation Patch Products Cheap Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co., Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance,China Supply Custom Antibiotic Ivermectin Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - 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 Plastic Crates With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Silicone Rubber Hand Grip

Foam sclerotherapy

China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{45mm Cap High Quality Supplier}Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - 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 (Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys). 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.

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Supply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - 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.China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe.^{China Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Plastic Storage Basket Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Isolated Soy Protein For Meat Use Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc.Wholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.;Wholesale Cheap OEM/ODM Hand Warmer Packs Factory & Supplier Price - Jade Rabbit Electrical Appliance. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering}However, high-Supply OEM Custom Automotive Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical Engineering-term follow-Wholesale CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

References