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Abstract

Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets 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 Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE.Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE.China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

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 Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical ApplianceRisk 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 Expendable Thermocouple Factory & Supplier Price - FOD Electrical EngineeringWholesale Cheap OEM/ODM Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh 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 Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge Roc(EVLA),Wholesale CE High Quality Herbal Extract Pain Relief Patch Factory & Supplier Price - Xingzhichen(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Vitamin E Capsules Products Cheap Price - KeMing Medicines.China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&EWholesale CE High Quality Wax Hair Removal Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

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).Supply OEM Custom Wooden Shelving Systems Products Cheap Price - INNOVATIVEThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines. 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 Electric Pressure Washer Factory & Supplier Price - Mingou).Supply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge RocWholesale CE High Quality Red Rice Protein Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Best Sources Of Fiber In Food Products Cheap Price - Huge Roc,Wholesale CE High Quality Cooling Gel Plaster Suppliers & Manufacturers Quotes - XingzhichenWholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance; 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 Mezzanine Staircase Factory & Supplier Price - INNOVATIVE.

Table 1

CEAP classification: C (clinical component)

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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 Wooden Slatted Shelves Products Cheap Price - INNOVATIVE,Supply OEM Custom Sodium Saccharin Food Grade Products Cheap Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - 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,Ceiling Pole Bracketsbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.Supply OEM Custom Vanilla Rice Protein Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited, such as acute DVT,Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology—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 Muscle Protein Powder Suppliers & Manufacturers Quotes - 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.Wholesale CE High Quality Inexpensive Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVEIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Ltd.). And massive bleeding due to injury to femoral veins,Supply OEM Custom Small Plastic Containers Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., 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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Wholesale CE High Quality Remove Scar Dressing Suppliers & Manufacturers Quotes - Xingzhichen; 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.Wholesale CE High Quality Orthodontic Face Mask Suppliers & Manufacturers Quotes - Xingzhichen. Alternatively,Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - Huge Roc.China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc

Supply OEM Custom Soybeans Protein Products Cheap 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.Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing Medicines,China Supply Custom Lean And Healthy Pea Protein Products Cheap Price - Huge RocSupply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen, recurrence rates,China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology

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 Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries LimitedWholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou;China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Decorative Trim Casting Supplier & Factory

Radiofrequency ablation

Supply OEM Custom Vital Pea Protein Powder 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 Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou.

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 Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc,Ltd.

Foam sclerotherapy

China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Calcium Propionate Manufacturing Process Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Electric Water Bag Products Cheap Price - Jade Rabbit Electrical ApplianceWholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance. 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 Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc

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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.Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE,Aluminum Gloss Agent

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Wholesale CE High Quality Slimming Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc. 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 Nested Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering.Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - XingzhichenWholesale CE High Quality Ivermectin Injection 1% Veterinary Medicine Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Burn Dressing Factories & Manufacturers Pricelist - Xingzhichen.Wholesale CE High Quality Tablets Antibiotic Medicine Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Plastic Cap Roofing Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Hair Curler Suppliers Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Aluminum Die Casting Mold Factories & Manufacturers Pricelist - Highpoint MachineryIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineeringand has not gained large popularity due to its efficacy. However,Supply OEM Custom Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Overall, all management modalities appear to be safe and effective in the short term and midterm,ruichirobotChina Supply Custom Die Casting Process Factory & Supplier Price - Highpoint Machinery.China Supply Custom Robot Spray Painting Machine Products Cheap Price - FOD Electrical Engineering;China Supply Custom What Is Whey Protein Isolate Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc,China Supply Custom Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint MachineryHowever, high-China Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc-term follow-Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc.

Acknowledgments

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

References

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