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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Fiber Diets For Adults Factory & Supplier Price - Huge Roc.
Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Ltd.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time. Ltd.–China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology(RFA), foam sclerotherapy (FS),China Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen.Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - Bluekin Industries Limited–Diode Laser Hair Removal Fda
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 Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing MedicinesThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Corrugated Paper Display Products Cheap Price - 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 (China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc).Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal TechnologyWholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou,Lathe For Vehicle Equipment ProcessingSupply OEM Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc; 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,Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen.
Table 1
CEAP classification: C (clinical component)
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 Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Best Rice For Protein Factory & Supplier Price - Huge Roc, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Ltd.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,Sour Service Pipebecause 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 Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited, such as acute DVT,Wholesale Cheap OEM/ODM Calcium Propionate Manufacturing Process Suppliers & Manufacturers Quotes - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering—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 Whitening Gel Mask Factory & Supplier 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.China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen). And massive bleeding due to injury to femoral veins,China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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China Supply Custom New Energy Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVEIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc. Alternatively,Wholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe.China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen
Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing Medicines, 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.Wholesale CE High Quality Aluminum Die Casting Mold Factories & Manufacturers Pricelist - Highpoint Machinery,Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering,Abc12 Aluminum Alloy Die CastingWholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc, recurrence rates,Supply OEM Custom Craft Products Cheap Price - Unionrise I&E.Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc
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,China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery;Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale CE High Quality Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance,Self Tapping Screw With Washer
Radiofrequency ablation
Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.; 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 Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc,China Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery,China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited
Foam sclerotherapy
China Supply Custom Fever Plaster Factories & Manufacturers Pricelist - Xingzhichen; it can be undertaken in the outpatient clinic,Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - XingzhichenObservational studies found that success rates vary from 82% to 100%,6 Mva Power TransformerWholesale Cheap OEM/ODM Max Protein Products Cheap Price - 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 (Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.
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.China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale CE High Quality Raw Soy Lecithin Products Cheap Price - Huge Roc
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China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering. 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 Solid Fold Up Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering.Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap Price - Huge RocWholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom AR Gun Adapter Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Sodium Saccharin For Sale Products Cheap Price - Huge Roc.China Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal TechnologyIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited.China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge Roc
Overall, all management modalities appear to be safe and effective in the short term and midterm,Ice Block Make MachineWholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - KeMing Medicines;China Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E,Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, high-Supply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.-term follow-Wholesale Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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