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 Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance. 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 Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines).^{Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE}Wholesale Cheap OEM/ODM What Foods Are High In Fiber List Products Cheap Price - Huge Roc.^{China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Crates Used For Logistics Products Cheap Price - Zhongyi Plastic Technology Co.}China Supply Custom Max Protein 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,China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc.

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.^{China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE,Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Nestable Plastic Packaging 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 CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}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,^{Supply OEM Custom Spare Parts Factory & Supplier Price - Fenghe}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 Armature Testing Panel Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe,Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&E—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 Brown Rice Protein Supplement 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.^{China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology, 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 Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery; it can be undertaken in the outpatient clinic,China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Gradient Glitter Phone Case Factory & Supplier Price - Shenzhen Hxs Technology}Supply OEM Custom Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials 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 CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}

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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 Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE. 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 Plastic Crates Hinged Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys.^Ltd.Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited.China Supply Custom Unflavored Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Gun-Fix Automatic Uv Paint Spraying Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,China Supply Custom Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.^{Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Folding Supermarket Carts Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Hot Sale Plastic Pallet Unfoldable Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.;China Supply Custom Plastic Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{China Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys}However, high-Wholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc.

Acknowledgments

References