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Abstract

China Supply Custom Best Tasting Rice Protein 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 China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou.

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 Raw Brown Rice Protein Suppliers & Manufacturers Quotes - 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 Best Sources Of Dietary Fiber Products Cheap Price - Huge Roc–Wholesale Cheap OEM/ODM Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical ApplianceHigh 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 Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited(EVLA),Wholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Doxycycline Antimalarial Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance–Security Fence

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 Cheap OEM/ODM Expendable Thermocouple Factory & Supplier Price - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc. 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 Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited).China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&EWholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Wooden Shelving Systems Products Cheap Price - INNOVATIVE,6 Spindles Cnc RouterWholesale Cheap OEM/ODM Rehabilitation Products Suppliers & Manufacturers Quotes - Xingzhichen; 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 Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

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 Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Best Sources Of Fiber In Food Products Cheap Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Mobile Phone Case Suppliers Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Soybeans Protein Products Cheap 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 Supply Custom Ammonium Bicarbonate Sds Suppliers & Manufacturers Quotes - 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.Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Collapsible Plastic Crate With Handle Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E,China Supply Custom Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe—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 Sodium Saccharin Food Grade 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.Wholesale Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - XingzhichenIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Shipping Basket Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Muscle Protein Powder 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 Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. Alternatively,Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Timber Cube Shelves Factory & Supplier Price - INNOVATIVE.Wholesale CE High Quality Inexpensive Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVE

China Supply Custom Sewage Hose Factory & Supplier Price - Mingou, 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.Ltd., Ltd.,Supply OEM Custom Heated Straightening Brush Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYSupply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, recurrence rates,China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited.China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Mesh 20x20 Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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,Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries LimitedSupply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing Medicines;Wholesale CE High Quality Pea Protein Food Ingredients Products Cheap 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.China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Rice In Protein Shake Factory & Supplier Price - Huge Roc

Radiofrequency ablation

Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.; 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 hydrophilic polymer Factory & Supplier Price - Xingzhichen.

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 Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou,China Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology

Foam sclerotherapy

China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - XingzhichenObservational studies found that success rates vary from 82% to 100%,aihdcam.comSupply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines. 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 Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Ltd.

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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.Wholesale Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen,Ltd.

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China Supply Custom Q235 High Tensile Blue Steel Strapping 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.Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen,Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge RocWholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - Mingou.China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou.Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Medical Face Mask Factory & Supplier Price - XingzhichenIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVEand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Hoist Crane Machine Factories & Manufacturers Pricelist - FengheWholesale 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.;Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited. FS was associated with the highest failure rate.Wholesale CE High Quality Aluminum Die Casting Mold Factories & Manufacturers Pricelist - Highpoint Machinery,Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical EngineeringHowever, high-China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY-term follow-China Supply Custom Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.

Acknowledgments

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

References

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