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).^{China Supply Custom Pvc Hose Factory & Supplier Price - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E. 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 Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering).^{Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Rectangular Storage Box}Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - 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,China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance.

Table 1

CEAP classification: C (clinical component)

Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen

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 Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Pain Relief Patchcomfort 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,^yuyancablebecause 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 Cosmetic Mask Factory & Supplier Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Storage Used Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology—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 Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}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 CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Wholesale Cheap OEM/ODM Sodium Bicarbonate 99% Purity Ammonium Products Cheap Price - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance; it can be undertaken in the outpatient clinic,Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom White Pvc Coated Welded Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen. 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 Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering}

Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.

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.

Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering

Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines,Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.^{Wholesale Cheap OEM/ODM Hand Warmers Gloves Products Cheap Price - Jade Rabbit Electrical Appliance}Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines.Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. ^Ltd.It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering.^{China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^Ltd.Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen;Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Ltd.,Wholesale Cheap OEM/ODM Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.}However, high-Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge Roc-term follow-Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

References