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).^{Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - 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 Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines).^{Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines,China Supply Custom Protein Isolate Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Pea Protein Food Ingredients 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 CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd..

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.^{Wholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou,Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E}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,^{High Quality Black Iron Powder}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.China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology, such as acute DVT,^{China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines,China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited,China Supply Custom Q235 High Tensile Blue Steel Strapping 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.^{China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - 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.^{Wholesale Cheap OEM/ODM Lumbar Muscle Strain Stickers Products Cheap Price - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Unflavored Whey Protein Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

China Machine Vibrating Screen

Foam sclerotherapy

China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Large Artificial Trees Factory & Supplier Price - Green Link New Materials Co., Ltd.. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Hot Selling Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}China Supply Custom Plastic Net Baskets Factory & Supplier Price - Zhongyi Plastic Technology 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 (China Supply Custom Brown Rice Pea Protein Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology}

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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 Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen. 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 Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Plastic Compartment Storage Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited}China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc.Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited.^{China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines.^{Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - Fenghe}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^ycycautoSupply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Plastic Crate With Foldable Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou}However, high-Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E-term follow-Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines.

Acknowledgments

References