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 Fiber Diets For Adults Factory & Supplier Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE. 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 Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou).^{China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines,Catfish Drying Machine}China Supply Custom Gun-Fix Painting 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 Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - 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 Sodium Saccharin Uses Factory & Supplier Price - Huge Roc,Supply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^Ltd.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,^RLBPbecause 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 Vitamin E Capsules Products Cheap Price - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines, such as acute DVT,^{Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE—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.^{China Supply Custom Feed Grade Rice Protein 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.^{China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM What Is Fiber Good For Suppliers & Manufacturers Quotes - 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 Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen; it can be undertaken in the outpatient clinic,China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Cantilever Traffic Monitoring Pole}Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 (Wholesale CE High Quality Ivermectin Injection 1% Veterinary Medicine Products Cheap Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Non-Galvanized Welded Wire Mesh 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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Supply OEM Custom Vital Pea Protein Powder 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.China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou,China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical Appliance}China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Nested Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering.^{Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Ivermectin Injection 1% Veterinary Medicine Products Cheap Price - KeMing Medicines.^{Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Jar Of Honey}Wholesale Cheap OEM/ODM Burn Dressing Factories & Manufacturers Pricelist - Xingzhichen.Wholesale CE High Quality Tablets Antibiotic Medicine Factory & Supplier Price - KeMing Medicines;Supply OEM Custom Plastic Cap Roofing Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Wholesale CE High Quality Artificial Turf Golf Factory & Supplier Price - Green Link New Materials Co.,Wholesale CE High Quality Artificial Leaf Craft Factories & Manufacturers Pricelist - Green Link New Materials Co.}However, high-Wholesale CE High Quality Hair Curler Suppliers Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale CE High Quality Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References