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).^{Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Sheep Wire Mesh Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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.).^{Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc}Wholesale Cheap OEM/ODM White Nuisance Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.^{China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Hand Warmers Bulk Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Supply OEM Custom Construction Wire Mesh Factory & Supplier Price - Bluekin Industries Limited; 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 Calcium Propionate Manufacturing Process Suppliers & Manufacturers Quotes - Huge Roc.

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 Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom ECO-Friendly Factory & Supplier Price - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Rebar Tying Wire Spool 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,^{China Supply Custom Grab Excavator Factory & Supplier Price - Fenghe}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 Rivet Nut Factory & Supplier Price - Fenghe, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co., Ltd., such as acute DVT,^{China Supply Custom Folding Shopping Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Supply OEM Custom Artificial Real Touch Leaves Products Cheap Price - Green Link New Materials Co., Ltd.,Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc—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 Black Annealed Iron Wire Factories & Manufacturers Pricelist - 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 Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E). And massive bleeding due to injury to femoral veins,China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Hydration Bag

Foam sclerotherapy

Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc.^{China Supply Custom Lotion Emulsifying Machine Factories & Manufacturers Pricelist - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^Ltd.Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Vitamin Ad3e Injection Products Cheap Price - KeMing Medicines}

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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 Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE. 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 Cutting Edge Factory & Supplier Price - Fenghe,China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{Wholesale Cheap OEM/ODM Atv Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Storage Plastic Crate Black Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Acne Mask Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Plastic Storage Box Folding Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited.^{Wholesale CE High Quality Vitamin E Capsules Products Cheap Price - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited.^{Wholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Kawasaki Klr 650 Plastics Factory & Manufacturer}Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - Huge Roc;Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{Wholesale CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc}However, high-Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-China Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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