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 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment 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 (China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co.).^{Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge Roc}China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc}Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines; 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 Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.

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. ^{Ltd.,China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - 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,^{Alloy Fashion Necklace Wholesaler Quotes & PriceList}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 Radiant Heater Factory & Supplier Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,^{Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems 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 Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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 Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Ltd.). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - 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

Wholesale Cheap OEM/ODM Final Forming Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys.^{Wholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical Engineering}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Veterinary Tablet Factory & Supplier Price - KeMing Medicines}China Supply Custom Lotion Emulsifying Machine 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 Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - 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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Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen. 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 Mobile Shelves Factory & Supplier Price - INNOVATIVE,Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering.^{China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering}Wholesale CE High Quality Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom Bulk Pea Protein Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Motor Manufacturing Turn-Key Service Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc.^{Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Automatic Hair Straightener Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.;Supply OEM Custom Plastic Container Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen}However, high-Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited-term follow-Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc.

Acknowledgments

References