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).^{China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - 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 (Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology).^{Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc,Customizable Padlock}Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials 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 Shaft Pressing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..

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 Karcher Nozzle Factory & Supplier Price - Mingou,Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}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,^{Wholesale Cheap OEM/ODM Wire Mesh Fine Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited}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 Artificial Light Maple Tree Factory & Supplier Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Artificial Leaf Craft Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Supply OEM Custom Unique Bookshelves Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale Cheap OEM/ODM Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen—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 Alpha-Phosphatidyl Choline 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 Cheap OEM/ODM Corrugated Roofing Nails Products Cheap Price - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Pvc Insulated And Sheathed Wires Factory & Supplier 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

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Foam sclerotherapy

Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Heating Cable/Heating Element Wire Products Cheap Price - FOD Electrical Engineering}Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited. 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 (China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen}

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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 Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited,China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering.^{Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}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.Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited.^Ltd.It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc.^{China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Elite Whey Protein Isolate Products Cheap Price - Huge Roc}Wholesale Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology;Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering}However, high-Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - Fenghe-term follow-China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References