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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen.Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited.
Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen–Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.High ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc(EVLA),Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY–Wholesale Cheap OEM/ODM calcium alginate wound dressing Products Cheap Price - Xingzhichen
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 Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - 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 (Ltd.).Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc.Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc,HarvestWholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE; 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 Protein Powder Pea Protein Factory & Supplier Price - Huge Roc.
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 Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Watercolor Painting Set Factory & Supplier Price - Unionrise I&ESymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical EngineeringHowever, 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 Baking Soda Sodium Bicarbonate Factory & Supplier Price - Huge Rocbecause 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 CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE, such as acute DVT,Wholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Sewage Hose Factory & Supplier Price - Mingou,Supply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Pvc Coated Wire Mesh Fence 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 Compensating Cable/Wire Factory & Supplier Price - FOD Electrical EngineeringThe 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 Poultry Drugs Factory & Supplier Price - KeMing MedicinesIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
Table 2
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Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.; these belong to the category of minimally invasive catheter-based procedures.Ltd.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen. Alternatively,China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.
Supply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines, 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.Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines,Accelerate Aging Test Chamber Exporter Hot Sale ProductChina Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited, recurrence rates,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E
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,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - XingzhichenChina Supply Custom Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - 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 Cheap OEM/ODM Diamond Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Pvc Insulated Compensation Wire Products Cheap Price - FOD Electrical Engineering
Radiofrequency ablation
Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY; 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,Supply OEM Custom 8 - Pea Protein Isolate 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 Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe,Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM Now Organic Pea Protein Products Cheap Price - Huge Roc
Foam sclerotherapy
Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou; it can be undertaken in the outpatient clinic,China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou.Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,Hold The Corn Harvester By HandWholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - 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 Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited
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.Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc,Tea Tin Can With Inner Lid
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Wholesale Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Cheap OEM/ODM Elite Protein Powder Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Turf Artificial Grass Football Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. Ltd.Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Large Artificial Trees Factory & Supplier Price - Green Link New Materials Co., Ltd..China Supply Custom Plastic Net Baskets Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external support Ltd.and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc
Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Six Axis Robotic Spraying Painting Equipment Products Cheap Price - FOD Electrical EngineeringChina 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.;China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - XingzhichenHowever, high-Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc-term follow-Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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