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).^{Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Very High Fiber Foods 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 (China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery).^{Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc}Supply OEM Custom Soybeans Protein Products Cheap Price - Huge Roc.^{Supply OEM Custom G1/4 F Snow Foam Lance Factories & Manufacturers Pricelist - Mingou,Metal Mosaic Mould Mosaic And Tile Adhesive Glue}Supply OEM Custom Plaster For Rheumatism 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,China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen.

Table 1

CEAP classification: C (clinical component)

Ltd.

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 Automatic Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Organic Pea Powder Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Oil Colour Painting Set Factory & Supplier Price - Unionrise I&E}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,^{Supply OEM Custom Calcium Supplements Products Cheap Price - Huge Roc}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.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc, such as acute DVT,^{China Supply Custom Max Protein Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou,China Supply Custom Private Label Dietary Fibers Factory & Supplier Price - Huge Roc,China Supply Custom Pet Protein Factories & Manufacturers Pricelist - 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 Good Quality Powder Coating Line Products Cheap Price - FOD Electrical Engineering}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 Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Furry Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Belt Conveyor Rubber Pulley

Foam sclerotherapy

China Supply Custom Robot Spray Painting Machine Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,China Supply Custom What Is Whey Protein Isolate Products Cheap Price - Huge Roc.^{Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Wooden Pallet Steel Strapping Products Cheap Price - Bluekin Industries Limited}China Supply Custom Food Addtivies Calcium Propionate 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 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Craft Products Cheap Price - Unionrise I&E}

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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.

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China Supply Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.. 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 Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines.^{Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc.Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Veterinary Injection Factory & Supplier Price - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE.^{Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Betnason Drops For Eye/Ear/Nose Factory & Supplier Price - KeMing Medicines}Wholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale CE High Quality Kids Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance;China Supply Custom Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Medical Cold Compresses Factory & Supplier Price - Xingzhichen}However, high-Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines-term follow-Wholesale CE High Quality Oil Colour Painting Set Factory & Supplier Price - Unionrise I&E.

Acknowledgments

References