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Abstract

China Supply Custom Football Door Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Wooden Shelving Systems Products Cheap Price - INNOVATIVE.China Supply Custom Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Flexible Hose Factory & Supplier Price - 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%.Wholesale Cheap OEM/ODM Very High Fiber Foods 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.China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc–Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal TechnologyHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc(EVLA),Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines(RFA), foam sclerotherapy (FS),China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY–Wholesale Cheap OEM/ODM Soy Fiber 80mesh Products Cheap Price - Huge Roc

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).Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 Construction Steel Strap Products Cheap Price - Bluekin Industries Limited).China Supply Custom White Rice Protein Products Cheap Price - Huge RocWholesale CE High Quality C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc. Ltd.,Factory Price Shock Absorber Washer - ACD2035 - ZhuohuiChina Supply Custom Chain Link Fence Cage Products Cheap 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,China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou,Ltd.Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Kx Thermocouple 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 Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYHowever, 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 Wholesale Chain Link Fence Factory & Supplier Price - Bluekin Industries Limitedbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology, such as acute DVT,Wholesale Cheap OEM/ODM Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 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 Tablets Antibiotic Medicine Factory & Supplier Price - 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.Ltd.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,China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe, 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 Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Non-Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited. Alternatively,Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Plastic Crate Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

Wholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - 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 CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E,Solar Panel SystemSupply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc, recurrence rates,Wholesale CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited.China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - 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,Supply OEM Custom Sodium Saccharin Food Grade Products Cheap Price - Huge RocWholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen;China Supply Custom Foldaway Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. 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 Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Dc Axial Fan 24v

Radiofrequency ablation

Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines; 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 CE High Quality Pressure Washer Hose Adapter 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.China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.,China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou,Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E

Foam sclerotherapy

Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Supply OEM Custom Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Fan Belt Tensioner Pulley AssyWholesale CE High Quality Emulsifier Lecithin Soy Products Cheap 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 (China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen

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.Wholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc

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Wholesale CE High Quality Vital Protein Pea Protein Isolate 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.Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou,China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE.China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Diclazuril Veterinary Drugs Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Ring Shank Nail Products Cheap Price - Bluekin Industries Limited.China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - XingzhichenIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limitedand has not gained large popularity due to its efficacy. However,China Supply Custom Strand Rc Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Aluminium Coils Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal TechnologyChina Supply Custom Farm Soil Tilling Machine Suppliers & Manufacturers Quotes - Fenghe.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. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Vitamin B9 Products Cheap Price - KeMing MedicinesHowever, high-China Supply Custom Where Can I Get Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc-term follow-China Supply Custom Modular Metal Shelving Suppliers & Manufacturers Quotes - INNOVATIVE.

Acknowledgments

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

References

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