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 Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVE. 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 Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology Co.).^{China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen}Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - Xingzhichen,App Remote Control Timing Smart Socket}Wholesale Cheap OEM/ODM Lamination Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology; 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,China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc.

Table 1

CEAP classification: C (clinical component)

Ltd.

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 Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Adapter Factories & Manufacturers Pricelist - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe}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,^{Wholesale Cheap OEM/ODM Reusable Hand Warmers Factory & Supplier Price - Jade Rabbit Electrical Appliance}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 Black Mud Facial Mask Factory & Supplier Price - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^{Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering,China Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Sealess Steel Strapping Tool Suppliers & Manufacturers Quotes - 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.^{Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited}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.^{Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVE, 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 Pvc Mesh Products Cheap Price - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Multi Vitamin Tablets Factory & Supplier Price - KeMing Medicines}Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc. 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 Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Adhesive Hydrophilic Dressing Factory & Supplier Price - Xingzhichen}

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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 Powder Coating Spray Booth Factory & Supplier Price - FOD Electrical Engineering. 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 Bosch Car Washer Factories & Manufacturers Pricelist - Mingou,Wholesale Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen}Wholesale Cheap OEM/ODM 1050 Cooking Aluminum Circle Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.China Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing Medicines.^{Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Glass Block Factory & Supplier Price - Bluekin Industries Limited}Supply OEM Custom Mini Football Field Artificial Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen;Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc}However, high-Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering-term follow-China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering.

Acknowledgments

References