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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Plastic Dolly For Sale Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering.China Supply Custom Armature Winder Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Glass Block Bricks Price Products Cheap Price - Bluekin Industries Limited–Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE(EVLA),Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE–Ltd.

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 CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Kid Drawing Board Products Cheap Price - 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 (Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited).Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&ESupply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Cfm Whey Protein Products Cheap Price - Huge RocWholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co., Ltd.; 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 Road Machinery Products Cheap Price - Fenghe.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Ltd.,Wholesale CE High Quality Grocery Store Shelves For Sale Factory & Supplier Price - INNOVATIVESymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - 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 Grader Factory & Supplier Price - FengheHowever, 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,Bumper Car Rubber Bumperbecause 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 Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co., Ltd., such as acute DVT,Supply OEM Custom Rubber Hose Factory & Supplier Price - Mingoupregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering,Supply OEM Custom Plastic Tote Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.—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 Weight Of Iron Nails Products Cheap Price - Bluekin Industries LimitedThe 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 Kids Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering. Alternatively,China Supply Custom Mirror Polished Aluminum Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Soft Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Aluminium Casting CNC Suppliers & Manufacturers Quotes - Highpoint Machinery

China Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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.Supply OEM Custom Mutivitamin Syrup Suppliers & Manufacturers Quotes - KeMing Medicines,China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - Bluekin Industries Limited,5# Empty Capsule - Empty CapsuleChina Supply Custom Automatic Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering, recurrence rates,Supply OEM Custom Good Quality Powder Coating Line Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

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,Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge RocChina Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines;China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering,Wholesale CE High Quality Timber Floating Shelves Products Cheap Price - INNOVATIVE

Radiofrequency ablation

China Supply Custom Perfect Whey Protein Factory & Supplier Price - Huge Roc; 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,Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering.

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 CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited,China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co.

Foam sclerotherapy

Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge RocObservational studies found that success rates vary from 82% to 100%,Esd Safety Boots Factory OEM/ODM ProductsWholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E. 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 Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - 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.

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 Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines,60 Inch Gaming Desk

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Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe. 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 Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - XingzhichenWholesale CE High Quality Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc.Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E.Supply OEM Custom Sand Blasting Nozzle Factories & Manufacturers Pricelist - Mingou.China Supply Custom White Chicken Wire Mesh Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical ApplianceIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limitedand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Teflon Twin Wire Factories & Manufacturers Pricelist - FOD Electrical EngineeringSupply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen.China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc;Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Ltd.,Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge RocHowever, high-Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc-term follow-China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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