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 Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality PU dressing Suppliers & Manufacturers Quotes - Xingzhichen. 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 Now Organic Pea Protein Products Cheap Price - Huge Roc).^{Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc}Wholesale CE High Quality Organic Protein Shake Products Cheap Price - Huge Roc.^{China Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Automatic Powder Spraying Line Factory & Supplier Price - FOD Electrical Engineering}Wholesale Cheap OEM/ODM Salon Use Hand And Foot Paraffin Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY; 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 First Aid Wound 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 CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Phone Case For Iphone 6 Factories & Manufacturers Pricelist - Shenzhen Hxs Technology, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention. ^Ltd.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 CE High Quality Co-Trimoxazoleoral Suspension Suppliers & Manufacturers Quotes - KeMing Medicines}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 Organic Pea Protein Powder Bulk Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,^{Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys,Supply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Welded Wire Mesh Roll Factory & Supplier Price - Bluekin Industries Limited—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. ^Ltd.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 Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage 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

Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.^{Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Best Selling Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale CE High Quality Daily Dietary Fiber Factory & Supplier Price - Huge Roc. 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 Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc}

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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 Electronic Hair Straightener Suppliers & Manufacturers Quotes - 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 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..^{Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen}China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Barbed Wire3.0 Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Ammonium Bicarbonate In Biscuits Factory & Supplier Price - Huge Roc.^{China Supply Custom Mobile Library Shelving Products Cheap Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE.^{China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Forging Parts Agriculture Machinery}Wholesale CE High Quality Design Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Transdermal Stickers Factory & Supplier Price - Xingzhichen;Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE}However, high-Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Acknowledgments

References