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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
China Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe. 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 Nature Looking Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Where Can I Get Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Modular Metal Shelving Suppliers & Manufacturers Quotes - 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%.Wholesale CE High Quality Sprouted Brown Rice 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.Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering–Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - XingzhichenHigh 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 Electric Ir Heater Products Cheap Price - FOD Electrical Engineering(EVLA),China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE(RFA), foam sclerotherapy (FS),Supply OEM Custom 6x6 Reinforcing Welded Wire Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited. Ltd.–Wholesale Cheap OEM/ODM Pure Antimalarial Drug Suppliers & Manufacturers Quotes - KeMing Medicines
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 Antipyretic And Analgesic Injection Factories & Manufacturers Pricelist - KeMing MedicinesThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Farm Fence Products Cheap Price - 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 (Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen).Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical ApplianceWholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Wholesale CE High Quality Grocery Shelving For Sale Factory & Supplier Price - INNOVATIVEWholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery; 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 Grocery Shelves Factory & Supplier Price - INNOVATIVE.
Table 1
CEAP classification: C (clinical component)
Indication and Contraindication of Treatment for Varicose Veins
The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Ltd.,Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Artificial Palm Trees Products Cheap Price - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM 1 1/4 Steel Strapping Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, 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 Where To Get Pea Protein Powder 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 Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen, such as acute DVT,Supply OEM Custom Multi-Function Plastic Crate With Lid 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 Organic Protein Shake Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - 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 CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing MedicinesThe 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 Vitamin K1 Injectable Factory & Supplier Price - KeMing MedicinesIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Salbutamol Syrup Factory & Supplier Price - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys. Alternatively,Supply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc
Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage Factory & Supplier Price - 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 Cheap OEM/ODM Electronic Hair Straightener Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Chain Link Fence Cage Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Flexible Hose Products Cheap Price - MingouWholesale CE High Quality Logistic Plastic Crate With Lid Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,China Supply Custom Organic Whey Protein Powder Factory & Supplier Price - Huge Roc.Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical Engineering
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 CE High Quality Watercolor Painting Set Factory & Supplier Price - Unionrise I&EChina Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering;Wholesale CE High Quality Brown Rice Protein 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.Supply OEM Custom Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - Huge Roc,Electrical Cable 8mm Copper Wire
Radiofrequency ablation
Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - 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,Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&E.
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 Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen,China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering
Foam sclerotherapy
Supply OEM Custom Blackhead Removal Face Mask Suppliers & Manufacturers Quotes - Xingzhichen; it can be undertaken in the outpatient clinic,Supply OEM Custom Gear Products Cheap Price - Fenghe.China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical EngineeringObservational studies found that success rates vary from 82% to 100%,Mangosteen ExtractChina Supply Custom Artificial Plants And Trees Factories & Manufacturers Pricelist - Green Link New Materials 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 (Supply OEM Custom Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited
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 CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen,Bedtime Night Light
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Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines. 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 Eye Mask Sleep Factory & Supplier Price - Xingzhichen,Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.Ltd.Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Artificial Palm Tree Leaves Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Plastic Collapsible Crates For Plates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - FengheIt aims to increase the coating surface and restore valve competency by external supportLtd.and has not gained large popularity due to its efficacy. However,China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou
Overall, all management modalities appear to be safe and effective in the short term and midterm,Cctv Camera SecurityWholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc;Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHowever, high-Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology-term follow-China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
