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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Ltd.–Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen(EVLA),Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.–Tablet Weight Variation Usp

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 Antibiotic Powder Factory & Supplier Price - KeMing MedicinesThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 (Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.).Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing MedicinesChina Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Finger Paint Factories & Manufacturers Pricelist - Unionrise I&EChina Supply Custom 86barbed Wire Weight Per Meter 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,China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.

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 Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou,Wholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge RocHowever, 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,China Rubber Additive Nno Disperantbecause 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 High Pressure Hose Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines,Supply OEM Custom Soy Lecithin Factory & Supplier 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 Brown Rice Pea Protein Powder Products Cheap Price - Huge RocThe 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 Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc, 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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Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. Alternatively,Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering

Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., 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 Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen,Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology,Metal Laser Engraving MachineWholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E, recurrence rates,China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe.China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Educational Games Products Cheap 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 Organic Sprouted Brown Rice Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT. Ltd.,Basic Dyes

Radiofrequency ablation

Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc; 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,China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc

Foam sclerotherapy

Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.Observational studies found that success rates vary from 82% to 100%,China Supply Custom Construction Mesh Factory & Supplier Price - Bluekin Industries LimitedChina Supply Custom Sewage Hose Factory & Supplier Price - Mingou. 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 (Supply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.China Supply Custom Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology,9082

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China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - 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.Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap Price - Huge Roc.Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - XingzhichenWholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen.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.Supply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - MingouIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited.China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Sodium Cyclamate In Sweeteners Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen.Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc;Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.China Supply Custom Farm Fence Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries LimitedHowever, high-Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc-term follow-Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou.

Acknowledgments

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

References

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