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

Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited. 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 Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery.

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 CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing MedicinesRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen–China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.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 White Rice Protein Products Cheap Price - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou(RFA), foam sclerotherapy (FS),China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc–Swivel Shaft

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 Garage Shelving Systems Factory & Supplier Price - INNOVATIVEThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines. 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 Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited).Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge RocSupply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen.Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Welded PipeSupply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys; 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 Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom hydrophilic polymer Factory & Supplier Price - XingzhichenHowever, 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,Megnesium Saltbecause 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 Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE, such as acute DVT,Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliancepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering,China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc—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 Eps Sandwich Panel Products Cheap 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.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVEIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE, 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 CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint MachineryIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen. Alternatively,Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology.Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc

China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE, 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.Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - Huge Roc,Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology,Straight Line Glass Edge MachineWholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc, recurrence rates,Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc.Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines

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,China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge RocSupply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering;China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM For Soft Drink Food Grade Sodium Bicarbonate Factory & Supplier Price - Huge Roc

Radiofrequency ablation

China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines; 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 adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen, Ltd.,Ltd.

Foam sclerotherapy

Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Small Engine Motor MountsWholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology 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 (Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.Wholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited,Court Flooring For Badminton Factory OEM/ODM Products

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China Supply Custom Antibiotics Oral Suspension 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.China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou.Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc.Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Cell Phone Case And Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Pea Protein Wholesale Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Colored Folding Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - MingouIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicinesand has not gained large popularity due to its efficacy. However,Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Good Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Oem BeachwearSupply OEM Custom Storage Pallets For Sale Products Cheap Price - INNOVATIVE.Supply OEM Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.;Supply OEM Custom Warehouse Rack & Shelf Products Cheap Price - INNOVATIVE. FS was associated with the highest failure rate.Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou,Wholesale Cheap OEM/ODM Vitamin D Capsules Factory & Supplier Price - KeMing MedicinesHowever, high-Supply OEM Custom Mutivitamin Syrup Suppliers & Manufacturers Quotes - KeMing Medicines-term follow-Supply OEM Custom Kitchen Wire Shelving Factory & Supplier Price - INNOVATIVE.

Acknowledgments

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

References

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