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Abstract

Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&E. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou(RFA), foam sclerotherapy (FS),Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries LimitedYttrium Zirconia Powder

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 Weight Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - 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 (China Supply Custom Herbal Plaster Products Cheap Price - Xingzhichen).Wholesale Cheap OEM/ODM Warehouse Pallet Racking Factory & Supplier Price - INNOVATIVESupply OEM Custom Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Blue And Golden A/C Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal TechnologyChina Supply Custom Isp 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 Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.

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 Adult Paints Factories & Manufacturers Pricelist - Unionrise I&E,Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal TechnologySymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - XingzhichenHowever, 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,Ltd.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.Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited, such as acute DVT,Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery,China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen,China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen—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 Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVEThe 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 CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries LimitedIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical ApplianceIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines. Alternatively,Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc

Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc, 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 Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc,m.antpackaging.comSupply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines, recurrence rates,Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen

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,China Supply Custom Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines;Wholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Anxiety Patch Products Cheap Price - Xingzhichen

Radiofrequency ablation

Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology; 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 Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc,China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines, Ltd.

Foam sclerotherapy

China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing MedicinesObservational studies found that success rates vary from 82% to 100%,Bubble Tube LightWholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment 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 (Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap 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 Grocery Shelves Factory & Supplier Price - INNOVATIVE,Wholesale CE High Quality Heavy-Duty Truck Products Cheap Price - Fenghe

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Wholesale CE High Quality Electric Heat Bag Products Cheap 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 Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality Muscle Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen.China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.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. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge RocIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limitedand has not gained large popularity due to its efficacy. However,Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen

Overall, all management modalities appear to be safe and effective in the short term and midterm,Cheap Salon MatSupply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology;Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc. FS was associated with the highest failure rate.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 - INNOVATIVEHowever, high-China Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd.-term follow-Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.

Acknowledgments

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

References

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