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 Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co., Ltd.. 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 Nail Lamp Sun T9 Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY).^{Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - Huge Roc}China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale Cheap OEM/ODM Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering,China Supply Custom Ul10064 Ptfe Insulated Wire Products Cheap Price - FOD Electrical Engineering}Wholesale Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance; 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 Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing Medicines.

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.^{China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou}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,^{24v دودة العاصمة يستعد للسيارات}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.Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Best Sources Of Dietary Fiber Products Cheap Price - Huge Roc, such as acute DVT,^{China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Professional Hair Straightener Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Clotrimazole Products Cheap 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 Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}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 Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology). And massive bleeding due to injury to femoral veins,China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - 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

Ltd.

Foam sclerotherapy

Wholesale CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Sodium Saccharin Uses Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Baby Wellies Manufacturers Cheap Price}Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - 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 Zippo Hand Warmer 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.

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Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited. 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 Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe.^{China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited}Supply OEM Custom Plastic Storage Basket Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..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.Supply OEM Custom Automotive Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc.^{China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^Ltd.and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Best Pea Protein Powder For Weight Loss Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Auto Car Wash Machine Suppliers & Manufacturers Quotes - Mingou}Supply OEM Custom Nested And Plastic Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Vitamin B Complex Syrup Factory & Supplier Price - KeMing Medicines;Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{China Supply Custom Carbon Steel Parts Products Cheap Price - Fenghe,Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines}However, high-Wholesale Cheap OEM/ODM Vitamin Ad3e Injection Products Cheap Price - KeMing Medicines-term follow-Wholesale CE High Quality Fire Resistant Cable Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

Acknowledgments

References