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 On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe. 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 (Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc).^{China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc}Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE.^{Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Oxytocin Injection Products Cheap Price - KeMing Medicines}Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - 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 Brown Rice Protein Benefits Factory & Supplier Price - 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.^{Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc,Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering}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,^{Acid Violet 43}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.Supply OEM Custom Sand Blasting Nozzle Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom White Chicken Wire Mesh Products Cheap Price - Bluekin Industries Limited, such as acute DVT,^{Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology—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.^{Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - 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 Wheel Loader Suppliers & Manufacturers Quotes - Fenghe}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E). And massive bleeding due to injury to femoral veins,Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap 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

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Foam sclerotherapy

Wholesale CE High Quality Artificial Leaf Stem Factory & Supplier Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.^{Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou}Observational studies found that success rates vary from 82% to 100%,^{Countertop Quartz}Supply OEM Custom Tape For Wound Dressing 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 (China Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}

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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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Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou. 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 Vitamin Injection B12 Products Cheap Price - KeMing Medicines,Supply OEM Custom High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co.}Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines.Wholesale CE High Quality Logistic Stack And Nest Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Artificial Leaf Wedding Decoration Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering.^{Supply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Chain Controlled Insect Screen}Wholesale CE High Quality Adhesive Hydrophilic Dressing Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology;Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen. FS was associated with the highest failure rate.^{Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE}However, high-Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited-term follow-China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen.

Acknowledgments

References