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).^{China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. 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 Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - Huge Roc).^{Wholesale CE High Quality Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.^{China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Rice Protein Concentrate Suppliers & Manufacturers Quotes - Huge Roc}China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.; 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,Supply OEM Custom Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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.^{China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited}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,^{Gold Foil Paper Printer}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 For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,^{China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - 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.^{Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen}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.^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe). And massive bleeding due to injury to femoral veins,Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology 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

China Supply Custom Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou; it can be undertaken in the outpatient clinic,China Supply Custom Sun9s Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Folding Shopping Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Teflon Coated Heating Wire Products Cheap Price - FOD Electrical Engineering}Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE. 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 Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines}

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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 CE High Quality Price Sodium Bicarbonate Products Cheap Price - Huge Roc. 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.Supply OEM Custom 60 Ml Black Face Mask Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen.^{Wholesale Cheap OEM/ODM Hydraulic Hose High Pressure Suppliers & Manufacturers Quotes - Mingou}Wholesale Cheap OEM/ODM Sunone Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom With Lid Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Q235 High Tensile Blue Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen.^{Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint Machinery}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Plant Based Pea Protein Powder Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{China Supply Custom Timber Brackets For Shelves Factories & Manufacturers Pricelist - INNOVATIVE}China Supply Custom Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc;China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.. FS was associated with the highest failure rate.^{Wholesale CE High Quality Outdoor Artificial Turf Products Cheap Price - Green Link New Materials Co.,Wholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe}However, high-Wholesale Cheap OEM/ODM Backhoe Loader Suppliers & Manufacturers Quotes - Fenghe-term follow-Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

References