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 Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&E}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Professional Nail Dryer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. 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 (China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc).^{Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical Engineering}Supply OEM Custom Foam Gun Car Wash Suppliers & Manufacturers Quotes - Mingou.^{Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen,Custom Logo Vape Pen}Wholesale Cheap OEM/ODM Duckback Hot Water Bag Factory & Supplier 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,Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..

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.^{China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.,China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Sstorage Turnover Large Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E}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,^{www.jiaguanadulttoys.com}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 Dubai Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Large Plastic Crate Box Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - Xingzhichen,Wholesale CE High Quality Cell Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,China Supply Custom hydrophilic gel Factory & Supplier Price - Xingzhichen—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.^{China Supply Custom Black Mud Facial Mask Factory & Supplier Price - Xingzhichen}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 CE High Quality Medical Plaster Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Protein Shake Nutrition Factory & Supplier 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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Foam sclerotherapy

China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited.^{Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Pea Protein Isolate For Nutrition Bars Products Cheap Price - Huge Roc}Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E. 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 Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines}

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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 Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering. 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 Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Stackable Crate With Lid Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc}China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Grocery Store Shelves For Sale Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Thhn Thwn Electrical Wire 16 Awg Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Single Wire Factory & Supplier Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM K Type Thermocouple Compensation Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{China Supply Custom Crates Used For Logistics Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Cheap T Post Factories & Manufacturers Pricelist - Bluekin Industries Limited.^{Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Calcium Propionate 99%Min Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Bone Damage Stickers Factories & Manufacturers Pricelist - Xingzhichen.Wholesale CE High Quality Where To Buy Pea Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc;China Supply Custom Organic Soy Lecithin Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Roc}However, high-Wholesale CE High Quality Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited-term follow-Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

Acknowledgments

References