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

China Supply Custom Wire Fencing Materials Products Cheap Price - 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 Automated Conveyor System Products Cheap Price - FOD Electrical Engineering.China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys.Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical ApplianceRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc–China Supply Custom Protein Rice Factory & Supplier Price - 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 Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited(EVLA),Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology–Tow Tractor Price

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 Cheap OEM/ODM Steel Strapping Clip Factory & Supplier Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc. 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 Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys).Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines,Hard Wearing Vinyl FlooringWholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - 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,Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE.

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 Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE,Ltd.Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Plastic Cap Roofing Nails Factories & Manufacturers Pricelist - Bluekin Industries LimitedHowever, 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,Graphitized Petroleum Coke 98.5because 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 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,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.—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 Resistant Ptfe Wire Suppliers & Manufacturers Quotes - FOD Electrical EngineeringThe 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 Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&EIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,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.China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines

Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment 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 Warehouse Racking Costs Suppliers & Manufacturers Quotes - INNOVATIVE,Ltd.,CeeformChina Supply Custom Folding Plastic Crate Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Wholesale CE High Quality Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering,China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - 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,Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries LimitedLtd.;China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials 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 Plastic Wire Factory & Supplier Price - Bluekin Industries Limited,Rare Earth Magnets Disc

Radiofrequency ablation

Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology 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,China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc,China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines,China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Foam sclerotherapy

China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Supply OEM Custom Synovial Tenosynovitis Stickers Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,yunyangcosmeticWholesale Cheap OEM/ODM Face Paint Factory & Supplier 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 (Supply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

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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.Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology,High Quality Frontlit Banner

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China Supply Custom Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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 Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Kid Drawing Board Products Cheap Price - Unionrise I&E.Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical EngineeringWholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines.Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology.China Supply Custom Injection Machine Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing MedicinesIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRYand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen

Overall, all management modalities appear to be safe and effective in the short term and midterm,www.mbkglassjar.comWholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen;Wholesale CE High Quality Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge RocHowever, high-Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

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

References

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