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Abstract

China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM Sheep Mesh Price Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Blue Color Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..

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 Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge RocRisk 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 Pressure Washer Hose Suppliers & Manufacturers Quotes - MingouLtd.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 Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.(EVLA),China Supply Custom Lamination Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.(RFA), foam sclerotherapy (FS),China Supply Custom Pvc Hose Factory & Supplier Price - Mingou.China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge RocSupply OEM Custom Aluminium Profile Factory & Supplier Price - Shuanglin Jiate Metal Technology

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 Whey Protein Shake Factories & Manufacturers Pricelist - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen. 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 Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). Ltd.Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou.Wholesale Cheap OEM/ODM Soft Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited,Bolt Down Fuse BlockWholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery; 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 Calcium Supplements Factory & Supplier Price - Huge Roc.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Supply OEM Custom Bulk Pea Protein Factory & Supplier Price - Huge Roc,Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHowever, 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 External Use Remove Corn Plaster Products Cheap Price - Xingzhichenbecause 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 Ratary Brush Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines, such as acute DVT,Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen—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 60 Ml Black Face Mask Products Cheap Price - XingzhichenThe 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 Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology). And massive bleeding due to injury to femoral veins,China Supply Custom V Protein Powder 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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Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Plastic High Pressure Water Hose Products Cheap Price - MingouIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc. Alternatively,Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc.China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Gun-Fix Automatic Uv Paint Spraying Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc, 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. Ltd.,Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou,Inflatable Wedding TentChina Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc.Ltd.,Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe

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,Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries LimitedWholesale CE High Quality Professional Hair Straightening Comb Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY;Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou,Supply OEM Custom Cyclamate Nf13 - Sodium Cyclamate Nf13 Factory & Supplier Price - Huge Roc

Radiofrequency ablation

Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology; 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 CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

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 Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE,Wholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - Huge Roc

Foam sclerotherapy

China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery; it can be undertaken in the outpatient clinic,China Supply Custom White Rice Protein Products Cheap Price - Huge Roc.China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYObservational studies found that success rates vary from 82% to 100%,Portable Rechargeable Bluetooth SpeakerWholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou. 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 Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate 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.

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. Ltd.,Drilling Machine

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Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen,Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys.Supply OEM Custom Infusion Stickers Factories & Manufacturers Pricelist - XingzhichenWholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen.China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou.Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - FOD Electrical EngineeringIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - Xingzhichenand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc.China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Engine Motorcycle Aluminium Suppliers & Manufacturers Quotes - Highpoint MachinerySupply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY;Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering,Ltd.However, high-Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen-term follow-Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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

References

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