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 Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Brown Rice Protein Factory & Supplier Price - Huge Roc).^{Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines}China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering. ^{Ltd.,m.fldfilter.com}Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines; 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 CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou.

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 Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.,Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc}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 Brown Rice Protein Powder Price Factory & Supplier Price - Huge Roc}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 Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen,Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited—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.^{China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines}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 Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines, 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 High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe.^{Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{Multi-Wheel Transporter}Wholesale Cheap OEM/ODM Steel Strapping Clip 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 (Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe}

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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 Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc. 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 Lecithin Supplement Products Cheap Price - Huge Roc,Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines. ^Ltd.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..China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc.China Supply Custom Whey Rice Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc.^{Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{www.fq-laser.com}Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY;Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.,Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}However, high-Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines-term follow-Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.

Acknowledgments

References