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Abstract

Wholesale CE High Quality Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc.

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 Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc–China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen.Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc–2 light floor lamp

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 Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. 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 Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co.).Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries LimitedChina Supply Custom Plastic Crate Storage Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc,High Strength Strong Filament GeotextileChina Supply Custom Calcium Chloride 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,Supply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery.

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 Tasteless Protein Powder Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRYHowever, 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,Supply OEM Custom Rice Protein Animal Factories & Manufacturers Pricelist - Huge Rocbecause 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 Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc,Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance—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 Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge RocThe 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 Storage Mezzanines Factory & Supplier Price - INNOVATIVEIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - 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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Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc. Alternatively,Wholesale Cheap OEM/ODM Nail Polish Suppliers China Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc.Supply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering

Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited, 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 Flowers Artificial Products Cheap Price - Green Link New Materials Co.,Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou,150w Co2 Laser Cutter For SaleWholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., recurrence rates,Supply OEM Custom Telescopic Aerial Working Vehicle Factories & Manufacturers Pricelist - Fenghe.Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering

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 Glue &Glitter Glue Factories & Manufacturers Pricelist - Unionrise I&EChina Supply Custom Perfect Whey Protein Factory & Supplier Price - Huge Roc;Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries Limited. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,China Supply Custom Aluminum Auto Spare Parts Suppliers & Manufacturers Quotes - Highpoint Machinery

Radiofrequency ablation

Supply OEM Custom Hand Car Wash Equipment Suppliers & Manufacturers Quotes - Mingou; 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,China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.,China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering,China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - Huge Roc

Foam sclerotherapy

Wholesale CE High Quality Plain Protein Powder Products Cheap Price - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Diy Craft Products Cheap Price - Unionrise I&EObservational studies found that success rates vary from 82% to 100%,Gym Towel With Pocket Wholesaler Quotes & PriceListWholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou. 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 Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Construction Wire Mesh Factory & Supplier Price - Bluekin Industries Limited

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.

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.Wholesale CE High Quality Retardant Artificial Turf Products Cheap Price - Green Link New Materials Co.,Wholesale CE High Quality Bending Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Chromel Alumel Thermocouple Wire Products Cheap Price - FOD Electrical Engineering,China Supply Custom Isp Products Cheap Price - Huge Roc.China Supply Custom Ammonium Hydrogen Carbonate Msds Suppliers & Manufacturers Quotes - Huge RocWholesale Cheap OEM/ODM Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Calcium Alginate Dressing Products Cheap Price - Xingzhichen.Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Building Nails Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Aluminum Die Casting Suppliers & Manufacturers Quotes - Highpoint Machinery. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale Cheap OEM/ODM Field Fence Suppliers & Manufacturers Quotes - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineeringand has not gained large popularity due to its efficacy. However,China Supply Custom hemostasis Factory & Supplier Price - Xingzhichen.China Supply Custom Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Disposable Printed Face Mask Suppliers & Manufacturers Quotes - XingzhichenChina Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology;Wholesale CE High Quality Bronze Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited. FS was associated with the highest failure rate.China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.However, high-China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines-term follow-Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge Roc.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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