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 Calcium Propionate Price Products Cheap Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology. 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 Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering).^Ltd.Wholesale Cheap OEM/ODM Packing Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited,High Quality Competitive Price}Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal 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 Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines.

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.^{Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Organic Sprouted Brown Rice Protein Products Cheap Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines}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,^{Wholesale Cheap OEM/ODM Rectangle Folding Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}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 Multicolor Artificial Green Leaf Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Electric Hot Pack Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Racking System For Warehouse Products Cheap Price - INNOVATIVE—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. ^Ltd.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 Folded Crate Wholesalers Factory & Supplier Price - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Plain Wooden Shelves Products Cheap Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Multi Color Nail Drill Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, 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 Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E.^{Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^Ltd.Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE. 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 Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited}

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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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Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen. 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 Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE,Wholesale CE High Quality Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering.^{Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co.}Wholesale Cheap OEM/ODM Whey Protein Products Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Sodium Saccharin Uses Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Warehouse Pallet Racking Factory & Supplier Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Rubber Hose Factory & Supplier Price - Mingou.^{Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Hanging Conveyor System Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Mi Thermocouple Cable Factories & Manufacturers Pricelist - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{DALI2.0 CC Drivers}Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Hand Warmers Gloves Products Cheap Price - Jade Rabbit Electrical Appliance;Supply OEM Custom Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen}However, high-China Supply Custom Concrete Steel Nail Factory & Supplier Price - Bluekin Industries Limited-term follow-Wholesale Cheap OEM/ODM Atv Hand Warmers Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.

Acknowledgments

References