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 Emulsifier Lecithin Soy Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - 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 (China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited}Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE,Cold Drawn}Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E; 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 Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe.

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 Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen}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,^{Supply OEM Custom Shield K Type Compensation Wire Products Cheap Price - FOD Electrical Engineering}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 Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc, such as acute DVT,^{China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Timber Cube Shelves 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.^{Wholesale CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE}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. ^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing Medicines). And massive bleeding due to injury to femoral veins,China Supply Custom Sewage Hose Factory & Supplier Price - Mingou, 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 Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{Plastic Food Microwave Oven Plate Cover}Supply OEM Custom 8 - Pea Protein Isolate 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 Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc}

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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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China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou. 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.Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE,Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}Wholesale Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Elite Protein Powder Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Turf Artificial Grass Football Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Large Artificial Trees Factory & Supplier Price - Green Link New Materials Co., Ltd..^{Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{840 Shape Frp Roof Sheet}China Supply Custom Plastic Net Baskets Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.;Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen. FS was associated with the highest failure rate.^{Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen,Wholesale CE High Quality Clotrimazole Products Cheap Price - KeMing Medicines}However, high-China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering-term follow-Supply OEM Custom Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

References