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 Racking System For Warehouse Products Cheap Price - INNOVATIVE}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Now Organic Pea Protein Products Cheap Price - Huge Roc. 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 Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance}Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Coating Aluminium Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}Wholesale CE High Quality Teflon 30awg Wire Products Cheap Price - FOD Electrical Engineering; 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 Salbutamol Syrup 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.^{Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology,Wholesale Cheap OEM/ODM Industrial Infrared Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Good Protein Powder 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 Industrial Coating Equipment Factory & Supplier Price - FOD Electrical Engineering}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,^{Supply OEM Custom Artificial Tropical Leaves Suppliers & Manufacturers Quotes - Green Link New Materials 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.Supply OEM Custom Conference Room Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Plaster For Rheumatism Suppliers & Manufacturers Quotes - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Robotic Spray Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co., Ltd.,Supply OEM Custom Shaft Pressing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.—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 Cheap OEM/ODM Cheap T Post Factories & Manufacturers Pricelist - 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.^{China Supply Custom Robot Spray Painting Machine Products Cheap Price - FOD Electrical Engineering}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Pvc Insulated And Sheathed Wires Factory & Supplier Price - FOD Electrical Engineering). And massive bleeding due to injury to femoral veins,Supply OEM Custom Kid Drawing Board Factory & Supplier Price - Unionrise I&E, 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 Rivet Nut Factory & Supplier Price - Fenghe; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co., Ltd..^{Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.}Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Price For Cleanroom Panel/Cold Storage Room Factories & Manufacturers Pricelist - FOD Electrical Engineering}Supply OEM Custom Artificial Palm Tree Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM New Design Foldable Plastic 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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Supply OEM Custom Where Can I Get Baking Soda Products Cheap Price - Huge Roc. 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 Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines.^{Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc}Wholesale Cheap OEM/ODM Make Up Female Mannequin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Cheap Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Textile Cleaning Gun Products Cheap Price - Mingou.Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Wire Fencing Materials Products Cheap Price - Bluekin Industries Limited. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering. ^Ltd.It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Ivermectin Injection 1% Factories & Manufacturers Pricelist - KeMing Medicines}and has not gained large popularity due to its efficacy. However,China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys.^{Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen}Wholesale CE High Quality Top Quality Artificial Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Wholesale Cheap OEM/ODM Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}However, high-Supply OEM Custom Disposable Face Mask Suppliers & Manufacturers Quotes - Xingzhichen-term follow-Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited.

Acknowledgments

References