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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
Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou.Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited.
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 Portable Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYRisk 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 Easy Patch Factory & Supplier Price - Xingzhichen–China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical EngineeringHigh 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 Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - Huge Roc(EVLA),China Supply Custom Tennis Court Synthetic Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.(RFA), foam sclerotherapy (FS),China Supply Custom Bacteriostatic Dressing Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Thermocouple Bare Wire Products Cheap Price - FOD Electrical Engineering–Ltd.
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 Plating Tank Heater Factories & Manufacturers Pricelist - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited).China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Wound Dressing Kit Suppliers & Manufacturers Quotes - Xingzhichen,7 Bbl Fermenter High Quality SupplierWholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering; 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 Soy Protein Isolated Best Price Factory & Supplier Price - Huge Roc.
Table 1
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 Farm Machine Loosening Soil Factories & Manufacturers Pricelist - Fenghe,Ltd.Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom High Pressure Water Hose Factories & Manufacturers Pricelist - MingouHowever, 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,Supply OEM Custom Rice Protein Animal Products Cheap 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.China Supply Custom Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc, such as acute DVT,Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Artificial Sakura Tree Products Cheap Price - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY—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 Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringThe 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 (Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
Table 2
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China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,China Supply Custom Protein Shake Recipes Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Retardant Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom What Is Whey Protein Isolate Products Cheap Price - Huge Roc
Supply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., 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 Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE,Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc,China Supply Custom New Style Foldaway Plastic Storage Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Coil Lacing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Folding Shopping Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.
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 Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited;China Supply Custom Shelving Timber Suppliers & Manufacturers Quotes - INNOVATIVE. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale Cheap OEM/ODM Vitamin C Tablet Rose Hip Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale Cheap OEM/ODM Leisure Carpet Grass Factory & Supplier Price - Green Link New Materials Co.
Radiofrequency ablation
Wholesale Cheap OEM/ODM Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology 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,Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - FOD Electrical Engineering.
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 Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E,Supply OEM Custom Hand Warmers Cvs Factory & Supplier Price - Jade Rabbit Electrical Appliance,Wholesale Cheap OEM/ODM Hydraulic Hose High Pressure Suppliers & Manufacturers Quotes - Mingou
Foam sclerotherapy
Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Aluminum Blower Cover Factory & Supplier Price - Highpoint MachineryObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Wire Shelving Accessories Factories & Manufacturers Pricelist - INNOVATIVEWholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology. 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 Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Plant Based Pea Protein Powder Products Cheap Price - Huge Roc
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 Farm Tractor Suppliers & Manufacturers Quotes - Fenghe,Flexible Fiberglass Rod
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Wholesale CE High Quality Pea Protein Reviews Products Cheap Price - 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.China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries LimitedSupply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys.Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE.China Supply Custom Mini Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technologyand has not gained large popularity due to its efficacy. However,Supply OEM Custom Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou.Wholesale Cheap OEM/ODM Pea Protein Wholesale Products Cheap Price - Huge Roc
Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Gear Shaft Suppliers & Manufacturers Quotes - FengheWholesale Cheap OEM/ODM Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Shaft Pressing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.;Wholesale CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou. FS was associated with the highest failure rate.China Supply Custom Lotion Emulsifying Machine Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&EHowever, high-Supply OEM Custom Costco Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance-term follow-Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVE.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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