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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 Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines. 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 Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Grocery Shelving Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale CE High Quality Pressure Washer Inlet Filter Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier 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%.Supply OEM Custom What Is Whey Protein Factories & Manufacturers Pricelist - 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 Ul10064 Ptfe Wire Factory & Supplier Price - FOD Electrical Engineering–Wholesale Cheap OEM/ODM Brown Rice Protein Powder Products Cheap Price - Huge RocHigh 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 Steel Strapping Tools Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen–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).Wholesale Cheap OEM/ODM Ulcer Wound Dressing Factory & Supplier Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou. 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 Hose Factories & Manufacturers Pricelist - Mingou).China Supply Custom Buy Rice Protein Products Cheap Price - Huge RocChina Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ambarella A12 Police Camera Manufacturers Cheap PriceWholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Products Cheap Price - Jade Rabbit Electrical Appliance; 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 Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc.
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 Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale CE High Quality 18 Gauge Binding Wire Specifications Suppliers & Manufacturers Quotes - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.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,European License Plate Framebecause 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 Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited, such as acute DVT,Wholesale CE High Quality Logistic Plastic Crate With Lid Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines,Wholesale CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale CE High Quality Vitamin B12 Suppliers & Manufacturers Quotes - KeMing Medicines—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 Disposable Face Mask Suppliers & Manufacturers Quotes - XingzhichenThe 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 (Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Solid Box Style And Plastic Folding Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Fiber Diets For Adults Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Lead Head Nail Suppliers & Manufacturers Quotes - Bluekin Industries Limited. Alternatively,Wholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou
Supply OEM Custom Hot Hands Gloves Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance, 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.China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines,Cotton Buds MakingChina Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen, recurrence rates,Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited.China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Sodium Saccharin Uses Factory & Supplier Price - Huge Roc
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 Sprouted Brown Rice Protein Powder Factory & Supplier Price - Huge RocSupply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance;Supply OEM Custom High-Quality Food Grade Sodium Bicarbonate Factories & Manufacturers Pricelist - 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.Ltd.,China Supply Custom Manual Powder Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering
Radiofrequency ablation
Wholesale CE High Quality Loader-Digger Products Cheap Price - Fenghe; 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 Steel Strapping Clip Factory & Supplier Price - Bluekin Industries Limited.
Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen,China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc,China Supply Custom Pvc Mesh Products Cheap Price - Bluekin Industries Limited
Foam sclerotherapy
Wholesale CE High Quality Adhesive Transparent Dressing Products Cheap Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - XingzhichenObservational studies found that success rates vary from 82% to 100%,Artificial Stone MoldsWholesale Cheap OEM/ODM Lecithin Supplement 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 (Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering
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.Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines,Supply OEM Custom Galvanized Barbed Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited
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Wholesale CE High Quality Fiber Supplements Factory & Supplier 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.Wholesale CE High Quality Coil Lacing Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.,China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc.China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge RocChina Supply Custom Whey Rice Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.China Supply Custom Feed Grade Rice Protein Products Cheap Price - Huge Roc.China Supply Custom Plastic Type Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&EIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichenand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Synthenic Lawn Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc
Overall, all management modalities appear to be safe and effective in the short term and midterm,Factory Phillip ScrewsWholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance;Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE. FS was associated with the highest failure rate.China Supply Custom Mirror Polished Aluminum Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Lecithin Supplement Products Cheap Price - Huge RocHowever, high-Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE-term follow-China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.
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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