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 Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology 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 (Ltd.).^{Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE}Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Types Of Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou; 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 Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

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 CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology,Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited}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 Mesh Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys, such as acute DVT,^{China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited—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 Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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.^{China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen, 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 Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Whey Protein Powder Benefits Factory & Supplier Price - Huge Roc}Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - 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 CE High Quality Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen}

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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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Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - 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.Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.,China Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.}Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines.^{Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen.^{China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Pallet Racking For Sale Factories & Manufacturers Pricelist - INNOVATIVE}Wholesale Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&E.China Supply Custom Pt100 Compensate Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering;China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. FS was associated with the highest failure rate.^{China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited}However, high-Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E.

Acknowledgments

References