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Abstract

Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on 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.Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc.

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 White Wooden Shelf Brackets Products Cheap Price - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge RocWholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal TechnologyHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance(EVLA),Supply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines(RFA), foam sclerotherapy (FS),Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Ltd.Led Curing Source

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 Brown Rice Protein Supplement Factory & Supplier Price - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE. 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 Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited).Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge RocWholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering,Supply OEM Custom Oral Multi Vitamin Syrup Suppliers & Manufacturers Quotes - KeMing MedicinesSupply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited; 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 Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

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 Caesarean Section Dressing Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&ESymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyHowever, 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,Munchy Chews Dog Pet Machinebecause 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 Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou, such as acute DVT,Wholesale CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance,Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - 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.Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries LimitedThe 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 Bacteriostatic Dressing Factories & Manufacturers Pricelist - XingzhichenIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen, 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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Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Jet Power Pressure Washer Factories & Manufacturers Pricelist - MingouIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines. Alternatively,Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines

Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology 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.China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys,Car Led Reverse LightWholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc, recurrence rates,Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co.

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 CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - Bluekin Industries LimitedSupply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys;Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Ltd.,Babi Swing Kid

Radiofrequency ablation

Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering; 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,Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines,Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited

Foam sclerotherapy

China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited.China Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVEObservational studies found that success rates vary from 82% to 100%,m.orist-fashion.comWholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge Roc. 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 Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - 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.

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.Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering,Baby Girl Winter Outfit Wholesaler Quotes & PriceList

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Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe. 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 Steel Strapping Clip Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&EWholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc.Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc.Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - XingzhichenIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingouand has not gained large popularity due to its efficacy. However,China Supply Custom Whey Rice Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom High Quality Organic Pea Protein Isolate Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc;China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E,Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint MachineryHowever, high-Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

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

References

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