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).^{Supply OEM Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Foam Sprayer Factory & Supplier Price - Mingou. 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 Soy Protein Isolated Best Price Factory & Supplier Price - Huge Roc).^{China Supply Custom Cosmetic Mask Factory & Supplier Price - Xingzhichen}Wholesale CE High Quality Inexpensive Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVE.^{Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Restored Wood Shelves Products Cheap Price - INNOVATIVE}Wholesale CE High Quality Protein Powder Online 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,Wholesale Cheap OEM/ODM Corrugated Roofing Nails 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.^{Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Automatic Motor Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}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 Baking Powder Factory & Supplier Price - Huge Roc}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.Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance, such as acute DVT,^{Wholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Sun9s Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale Cheap OEM/ODM Resistant Ptfe Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering—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.^{Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - 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.^{Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,China Supply Custom Football Door Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., 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

China Supply Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.^{China Supply Custom Single Wire Factory & Supplier Price - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Stainless Steel Oval Head Slotted Tapping Screw}Supply OEM Custom Organic Pea Protein Suppliers 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 (China Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Gear Products Cheap Price - Fenghe}

Ltd.

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 Soy Protein Isolate Cas 9010-10-0 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 Cutting Edge Factories & Manufacturers Pricelist - Fenghe,Wholesale CE High Quality Plant Based Pea Protein Powder Products Cheap Price - Huge Roc.^{Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology}Wholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc.China Supply Custom Non-Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou.Wholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc.^{Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co.}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Brown Rice Protein Powder Benefits Products Cheap Price - Huge Roc}Supply OEM Custom Sodium Saccharin Food Grade Products Cheap Price - Huge Roc.China Supply Custom Foldaway Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.;Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.^{China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc,China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE}However, high-Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou-term follow-Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines.

Acknowledgments

References