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 CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVE. 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 Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E).^{Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE}Wholesale CE High Quality Artificial Palm Trees Products Cheap Price - Green Link New Materials Co., Ltd..^{China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Capsicum Adhesive Plaster Suppliers & Manufacturers Quotes - Xingzhichen}Wholesale Cheap OEM/ODM Artemisinin 99% Factory & Supplier Price - KeMing Medicines; 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 PU dressing Suppliers & Manufacturers Quotes - Xingzhichen.

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 Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen,Supply OEM Custom Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Organic Protein Shake Products Cheap Price - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}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 High Tensile Steel Strapping Factory & Supplier Price - 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 Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen, such as acute DVT,^{Wholesale CE High Quality Folding Go Cart 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 Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Supply OEM Custom Organic Pea Protein Powder Bulk Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - 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.^{Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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.^{Supply OEM Custom Multi Vitamin Factories & Manufacturers Pricelist - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys, 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 Trenchless Machinery Suppliers & Manufacturers Quotes - Fenghe; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Vitamin B12 Lozenge Suppliers & Manufacturers Quotes - KeMing Medicines.^{Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines}Observational studies found that success rates vary from 82% to 100%,^{www.wanlmedical.com}Wholesale CE High Quality Eye Mask Sleep Factory & Supplier Price - Xingzhichen. 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 (Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.}

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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 Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. 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 Daily Dietary Fiber Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Artificial Palm Tree Leaves Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..^{China Supply Custom Wire Mesh Used Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Wholesale Cheap OEM/ODM Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Plastic Collapsible Crates For Plates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM 10 Gauge Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Perforated Plastic Crates Supplier Products Cheap Price - Zhongyi Plastic Technology Co.}Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc;Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE. FS was associated with the highest failure rate.^{China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines}However, high-Wholesale CE High Quality Design Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen.

Acknowledgments

References