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 CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. 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 Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines).^{Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc}Wholesale Cheap OEM/ODM Welded Wire Mesh 9 Gauge Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Magnetic Face Mask Factory & Supplier Price - Xingzhichen}Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology; 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 Ammonium Hydrogen Carbonate Msds 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.^{China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.,Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Stone Cage Wire Mesh Suppliers & Manufacturers Quotes - 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,^{www.yesonmesh.com}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 Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,^{Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier 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.^{Wholesale CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}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.^{China Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E, 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 Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing Medicines; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Corrugated Sheet}Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier 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 (Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - 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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Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc. 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 Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^{Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe.Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E.Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc.^{Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^Ltd.Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY;Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc,China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines}However, high-Supply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering-term follow-China Supply Custom Isp Products Cheap Price - Huge Roc.

Acknowledgments

References