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Abstract

Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc.China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

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 Wire Shelving Parts Factory & Supplier Price - INNOVATIVERisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing MedicinesWholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge RocHigh 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 Plastic Container Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.(EVLA),Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - XingzhichenFloor Scrubber

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 Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen. 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 Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology).Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Hair Straightener Comb Factory Price Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYWholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - 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,Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen,Wholesale CE High Quality Clotrimazole Products Cheap Price - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom White Chicken Wire Mesh 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,Wholesale Cheap OEM/ODM Dozer Cutting Edge Factory & Supplier Price - Fenghebecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical Appliance, such as acute DVT,Wholesale Cheap OEM/ODM Best Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliancepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Natural Fiber Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Waterproof Bathroom Carpet Products Cheap Price - Green Link New Materials Co., Ltd.—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 9w Uv Nail Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYThe 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 Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Industrial Infrared Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering, 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 Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Raw Brown Rice Protein Suppliers & Manufacturers Quotes - Huge Roc. Alternatively,Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited

Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering, 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 CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines,Ltd.,20w-80w Led Linear Pendant LightWholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology, recurrence rates,Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines

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,Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical ApplianceWholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen;Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering. 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 Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.,Portable Warming Ovens

Radiofrequency ablation

Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc; 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 Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

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 Best High Fiber Diet Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE,China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited

Foam sclerotherapy

Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Artificial Turf Golf Factory & Supplier Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge RocObservational studies found that success rates vary from 82% to 100%,Wholesale CE High Quality Automatic Spraying Reciprocating Equipment Suppliers & Manufacturers Quotes - FOD Electrical EngineeringSupply OEM Custom Gangkai Non Woven Surgical Face Masks Factory & Supplier Price - Xingzhichen. 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 Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited

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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.Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines,Small Wheel Hub

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China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance. 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 CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou,Wholesale CE High Quality Roll Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom hydrophilic polymer Factory & Supplier Price - XingzhichenWholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering.China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E.Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical ApplianceIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Eps Sandwich Panel Products Cheap Price - FOD Electrical Engineeringand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Sun Diamond Shaped Uv Led Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYWholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.;Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.. FS was associated with the highest failure rate. Ltd.,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint MachineryHowever, high-China Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen.

Acknowledgments

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

References

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