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 Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom White Rice Protein Products Cheap 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 (Ltd.).^{China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe}Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou.^{Ltd.,Supply OEM Custom Iphone7 Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - 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,Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines.

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 CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen, 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,^{China Supply Custom Inlet Water Filter Suppliers & Manufacturers Quotes - Mingou}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.Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE, such as acute DVT,^{Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen,China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE—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 Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc}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 What Is Whey Protein Isolate Products Cheap Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap 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

Ltd.

Foam sclerotherapy

China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines.^{Wholesale CE High Quality Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Cheap Galvanized Welded Rabbit Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited}Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen. 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 Farm Tractor Suppliers & Manufacturers Quotes - Fenghe). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited}

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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 Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - 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.Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Pea Protein Wholesale Products Cheap Price - Huge Roc}China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou.Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Lotion Emulsifying Machine Factories & Manufacturers Pricelist - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E}and has not gained large popularity due to its efficacy. However,China Supply Custom Cell Phone Case And Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.^{Wholesale Cheap OEM/ODM Vitamin Ad3e Injection Products Cheap Price - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Outdoor Vest}Wholesale Cheap OEM/ODM Pea Protein Wholesale Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Colored Folding Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.;Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{Wholesale CE High Quality Sun9s Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}However, high-Supply OEM Custom Storage Pallets For Sale Products Cheap Price - INNOVATIVE-term follow-Supply OEM Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..

Acknowledgments

References