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 Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Floor Mats Factory & Supplier Price - Green Link New Materials Co., Ltd.. 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 hydrophilic gel Factory & Supplier Price - Xingzhichen).^{Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology}Supply OEM Custom hydrophilic polymer Factory & Supplier Price - Xingzhichen.^{China Supply Custom Medical Patch Factories & Manufacturers Pricelist - Xingzhichen,12 Core Fiber Junction Box Wholesaler Quotes & PriceList}China Supply Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc; 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 Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.

Table 1

CEAP classification: C (clinical component)

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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 Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys,Supply OEM Custom Dinosaur Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Animal Medicine Suppliers & Manufacturers Quotes - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention. ^Ltd.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,^{Acid Dyes Levelling AgentConcentration}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 Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited, such as acute DVT,^{Wholesale CE High Quality Ivermectin Injection 1% 10ml Factories & Manufacturers Pricelist - KeMing Medicines}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - Xingzhichen,Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Temperature Control Wax Pot Heater Suppliers & Manufacturers Quotes - 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.^{China Supply Custom Pet Protein Factories & Manufacturers Pricelist - Huge Roc}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 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc, 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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Foam sclerotherapy

China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Natural Material Facial Mask Factories & Manufacturers Pricelist - Xingzhichen.^{Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Sandblasting Gun Suppliers & Manufacturers Quotes - Mingou}China Supply Custom Electrostatic Powder Coating Spray Gun Products Cheap Price - FOD Electrical Engineering. 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 Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology). 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.

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China Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines. 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.Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc,Wholesale CE High Quality Rotor Assembly Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..^{Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery}Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines.Supply OEM Custom Nutribiotic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Hot Sale Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Calcium Propionate Price Products Cheap Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Plastic Crate With Foldable Lids Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^yuyancableWholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E.Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines;Supply OEM Custom Packaging Aluminium Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology. FS was associated with the highest failure rate.^{Ltd.,Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited}However, high-China Supply Custom Pea Protein Vegan Shake Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale CE High Quality Gangkai Non Woven Surgical Face Masks Suppliers & Manufacturers Quotes - Xingzhichen.

Acknowledgments

References