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 Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines. 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 (Supply OEM Custom Black Metal Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{China Supply Custom Pea Protein Wholesale Products Cheap Price - Huge Roc}China Supply Custom Raw Brown Rice Protein Suppliers & Manufacturers Quotes - Huge Roc.^{China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE,Supply OEM Custom Car Care Cleaning Factory & Supplier Price - Mingou}Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology; 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 CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc.

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 Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Pressure Washer Hose Suppliers & Manufacturers Quotes - Mingou}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering, 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,^{China Supply Custom How Reinforced Tie Wire To Tie Factories & Manufacturers Pricelist - Bluekin Industries Limited}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.Wholesale CE High Quality Order Phone Case Products Cheap Price - Shenzhen Hxs Technology, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance,Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Examples Of High Fiber Foods 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 Whey Protein Shake 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.^{Wholesale Cheap OEM/ODM Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}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,Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited, 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

Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Porcelain Tiles Silver Coating Machine}Wholesale Cheap OEM/ODM Fancy Phone Case Factory & Supplier Price - 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 (Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou). 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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Supply OEM Custom Needle Winding Machine Factory & Supplier Price - 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 Shaft Inserting Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd.,Supply OEM Custom For Wound Care Alginate Dressing Factory & Supplier Price - Xingzhichen.^{Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou}China Supply Custom Roofing Nail Gun Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge Roc.Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingou.^{Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Hanging Bookshelves Products Cheap Price - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Hdpe Welding Rod Products Cheap Price - Bluekin Industries Limited}Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Buy Stackable Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.;Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen. FS was associated with the highest failure rate.^{China Supply Custom 818 36w 4x9w Bulbs Nail Dryer Uv Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}However, high-Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.-term follow-China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc.

Acknowledgments

References