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Abstract

China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom Wooden Wall Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale Cheap OEM/ODM Materials Used In Making Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE–Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries LimitedHigh 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 Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. Ltd.–Glass Pharmaceutical Bottle

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 Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical ApplianceThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - 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 Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc).Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Unit Weight Of Barbed Wire Factories & Manufacturers Pricelist - Bluekin Industries LimitedWholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - 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 CE High Quality Farm Iron Fence 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 Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries LimitedHowever, 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 Pvc Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limitedbecause 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 Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE, such as acute DVT,Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - 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.China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing MedicinesThe 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. Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc, 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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China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Sodium Cyclohexylsulfamate Suppliers & Manufacturers Quotes - Huge Roc. Alternatively,Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe.China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited

Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines, 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.Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Hand Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceChina Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited, recurrence rates,Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc

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 Medical Sterilization Paster Factory & Supplier Price - XingzhichenChina Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited;Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen,China Supply Custom Wire Mesh For Concrete Reinforcing Factory & Supplier Price - Bluekin Industries Limited

Radiofrequency ablation

China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen; 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,Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou,Wholesale CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE, Ltd.

Foam sclerotherapy

Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing MedicinesObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Food Grade 99.5% Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge RocChina Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Biological Dressing Products Cheap Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Now Sports Pea Protein Factory & Supplier Price - Huge Roc

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China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou.China Supply Custom Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen. Ltd.It aims to increase the coating surface and restore valve competency by external support Ltd.and has not gained large popularity due to its efficacy. However,Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe

Overall, all management modalities appear to be safe and effective in the short term and midterm,Plastic Tube Extruder MachineChina Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited;Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHowever, high-Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E.

Acknowledgments

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

References

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