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 Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Pea Protein Reviews 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 (Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.).^{Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen.^{Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering,Hot Sale Baby Dining Chair}Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen; 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 Fermented Brown Rice Protein Powder 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. ^{Ltd.,Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - 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,^{Plain Carbon Steel Machine Screws}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 Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom High Soluble Fiber Factory & Supplier Price - Huge Roc, such as acute DVT,^{Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc,Supply OEM Custom Galvanized Steel Mesh Products Cheap Price - 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.^{Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}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 Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials 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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Foam sclerotherapy

Supply OEM Custom Mezzanine Level Suppliers & Manufacturers Quotes - INNOVATIVE; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Timber Shelves Factories & Manufacturers Pricelist - INNOVATIVE.^{Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{10 Meter Usb Cable}China Supply Custom Carbon Steel Parts Products Cheap Price - Fenghe. 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 Rivet Nut Factory & Supplier Price - Fenghe). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^Ltd.

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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 Led Nail Uv Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. 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 hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited.^{China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen}China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing Medicines.China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Injection Turbo Impeller Mold}Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering;Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys,Supply OEM Custom Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}However, high-China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited-term follow-Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe.

Acknowledgments

References