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Abstract

Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou. 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 Iron Wire Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Tennis Court Synthetic Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - Xingzhichen.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing MedicinesRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Ltd.–China Supply Custom Brown Rice Protein Powder Reviews 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 CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY(EVLA),Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance(RFA), foam sclerotherapy (FS),Wholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering.Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines–www.baiyipackage.com

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 Filter Face Mask Products Cheap Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Soy Protein Isolated Best Price 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 Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.).China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge RocSupply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE,China Plus Size TankiniChina Supply Custom Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment 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,Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc.

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 Lean And Healthy Pea Protein Products Cheap Price - Huge Roc,Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - 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,Wholesale CE High Quality Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge Rocbecause 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 Artificial Sakura Tree Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe,China Supply Custom Adapter Products Cheap Price - Mingou,China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - 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 Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing MedicinesThe 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.Supply OEM Custom hydrophilic polymer Factory & Supplier Price - XingzhichenIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance). And massive bleeding due to injury to femoral veins,Supply OEM Custom Collapsed Plastic Crate 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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Wholesale CE High Quality Retardant Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical EngineeringIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,Wholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Coil Lacing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE

Wholesale CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY, 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. Ltd.,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery,Exhaust Purification Equipment Wholesaler Quotes & PriceListChina Supply Custom Shelving Timber Suppliers & Manufacturers Quotes - INNOVATIVE, recurrence rates,Wholesale Cheap OEM/ODM Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc,Supply OEM Custom Sodium Saccharin For Sale Factory & Supplier Price - 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 Powder Spraying Production Line Factory & Supplier Price - FOD Electrical EngineeringSupply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology;Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology 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.Supply OEM Custom Hair Straightening Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Customized Exhibition Carpet

Radiofrequency ablation

Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment 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,Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Digestive System Drops Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Powder Coating Line For Cabinet Factory & Supplier Price - FOD Electrical Engineering,Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM Cfm Whey Protein Factory & Supplier Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Pea Protein Reviews Products Cheap Price - Huge Roc.Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - XingzhichenObservational studies found that success rates vary from 82% to 100%,Wholesale CE High Quality Best Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVEChina Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment 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 ( Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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 Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Nichrome Resistance Alloy Wire Cr20ni30 Products Cheap Price - FOD Electrical Engineering

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Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe.Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge RocWholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys.Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou.Wholesale Cheap OEM/ODM Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Shaft Pressing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Artificial Plants Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.It aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limitedand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou.Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Security Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE;Supply OEM Custom Infusion Stickers Factories & Manufacturers Pricelist - Xingzhichen. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou,Wholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing MedicinesHowever, high-Wholesale CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVE-term follow-Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen.

Acknowledgments

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

References

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