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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on 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.China Supply Custom Antibiotic Factory & Supplier Price - KeMing Medicines.Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - 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%.Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge RocRisk 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 Needle Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.–China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing MedicinesHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc(EVLA),Wholesale Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - Huge Roc(RFA), foam sclerotherapy (FS),Supply OEM Custom Animal Veterinary Medicine Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Warehouse Racking Costs Suppliers & Manufacturers Quotes - INNOVATIVE–6837-24-7 Supplier & Manufacturer

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).Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Cheap Whey Protein Suppliers & Manufacturers Quotes - 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 (China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering).China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Nested Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Ltd.,Detachable Heavy Duty Tire RackingWholesale CE High Quality Sodium Bicarbonate For Industry Use Factory & Supplier Price - Huge Roc; 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 Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology.

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 Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc,China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing MedicinesSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Where To Find Pea Protein Powder Factories & Manufacturers Pricelist - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHowever, 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 Roller Conveyor Line System Products Cheap Price - FOD Electrical Engineeringbecause 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 What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineeringpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Electric Heat Bag Products Cheap 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 Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries LimitedThe 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.Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs TechnologyIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE. Alternatively,Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom Wooden Wall Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale CE High Quality Thermocouple Wire Products Cheap Price - FOD Electrical Engineering

Wholesale Cheap OEM/ODM Materials Used In Making Nails 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 Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY,Camping GearsChina Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichen, recurrence rates,Supply OEM Custom Liquid Emulsifier Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY

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,Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical EngineeringChina Supply Custom Super Whey Protein Factories & Manufacturers Pricelist - Huge Roc;Wholesale CE High Quality Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Electrical Transformer

Radiofrequency ablation

Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc; 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 Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd..

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical Engineering,Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - Huge Roc

Foam sclerotherapy

Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Best Pea Protein Powder For Weight Loss Suppliers & Manufacturers Quotes - Huge RocObservational studies found that success rates vary from 82% to 100%,China Supply Custom Wooden Shelf Storage Products Cheap Price - INNOVATIVEWholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines. 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 Bicarbonate Sodium/Sodium Bicarbonate Food Grade Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Electrical Wire Flat Cable Products Cheap Price - FOD Electrical Engineering

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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.

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.Supply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines,Nonwoven Wedding Red Carpet

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China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE. 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 Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom High Soluble Fiber Factory & Supplier Price - Huge RocWholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou.China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Sodium Cyclohexylsulfamate Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limitedand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe.Supply OEM Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Hard Drawn Wire Products Cheap Price - Bluekin Industries LimitedWholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines.China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen. FS was associated with the highest failure rate.China Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge Roc,Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, high-Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen-term follow-Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE.

Acknowledgments

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

References

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