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 Healthcare Plaster Factory & Supplier Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom OEM Mobile Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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 Loader-Digger Products Cheap Price - Fenghe).^{China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines.^{China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE,Capsule Machine Mini}Supply OEM Custom 1L Foam Lance Factory & Supplier Price - Mingou; 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 Adhesive Plaster Suppliers & Manufacturers Quotes - Xingzhichen.

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.^{Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE,China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen}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 Decorative Artificial Flower Factory & Supplier Price - Green Link New Materials Co.}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.Wholesale CE High Quality Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Car Spray Booth Paint Cabinet Baking Oven Products Cheap Price - FOD Electrical Engineering, such as acute DVT,^{China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen,Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines,China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines—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 Pea Protein Reviews Factory & Supplier Price - 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.^{Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Ltd.). And massive bleeding due to injury to femoral veins,China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., 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 Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,Supply OEM Custom Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Hose Factory & Supplier Price - Mingou}China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. 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 Jet Power Pressure Washer Factories & Manufacturers Pricelist - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - 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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China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance. 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.China Supply Custom Rubber Bathroom Floor Mats Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,China Supply Custom Cosmetic Mask Factory & Supplier Price - Xingzhichen.^{China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}China Supply Custom Storage Used Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Tall Bookshelves Products Cheap Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co.}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited}Supply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines.Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited;Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines}However, high-Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou-term follow-Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.

Acknowledgments

References