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).^{Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - 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 (China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited).^{Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier Price - Huge Roc}Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.^{Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering,Generators Factory}Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - 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,Wholesale Cheap OEM/ODM Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Table 1

CEAP classification: C (clinical component)

Wholesale CE High Quality Plastic Crates With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.

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 Caesarean Section Dressing Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Face Paint Factory & Supplier Price - Unionrise I&E}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}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,^{Customed Rubber Diaphram}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.Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou, such as acute DVT,^{Wholesale CE High Quality Modular Wooden Shelving Suppliers & Manufacturers Quotes - INNOVATIVE}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance,Supply OEM Custom Where Can You Buy Rice Protein Powder 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.^{Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - 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.^{China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure ( Ltd.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Supply OEM Custom Karcher Nozzle Factories & Manufacturers Pricelist - Mingou

Foam sclerotherapy

China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited.^{China Supply Custom Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Wound Dressing With Silver Suppliers & Manufacturers Quotes - Xingzhichen}Wholesale CE High Quality Sprouted Brown Rice Protein Powder Factory & Supplier Price - 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 Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines}

Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc

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.

Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc

Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe. 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 Steel Strapping Clip Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen.^{Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E}Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge Roc.Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Fiber Supplements Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc.^{Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou}and has not gained large popularity due to its efficacy. However,China Supply Custom Whey Rice Factories & Manufacturers Pricelist - Huge Roc.^{Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{www.alitruck.com}Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc;China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E,Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery}However, high-Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References