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Abstract

Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - 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 China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E.

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 adhesive wound dressing Factories & Manufacturers Pricelist - XingzhichenRisk 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 Stainless Steel Nozzle Factory & Supplier Price - MingouChina Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint MachineryHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE(EVLA),Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Artificial Leaf Stem Factory & Supplier Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Saccharin Sodium 20-40 Mesh Suppliers & Manufacturers Quotes - Huge Roc4 Core Singlemode Fiber Optic Cable High Quality Supplier

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 G1/4 F Snow Foam Lance Factories & Manufacturers Pricelist - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance. 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 (Ltd.).China Supply Custom Automatic Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical EngineeringSupply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen.Wholesale Cheap OEM/ODM Organic Pea Powder Factory & Supplier Price - Huge Roc,China Supply Custom Silicone Rubber Insulation Materials Heating Cable Ul3219 Heating Element Application Factory & Supplier Price - FOD Electrical EngineeringChina Supply Custom Calcium Propionate 99% Food Grade Factories & Manufacturers Pricelist - 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,Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou.

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 Max Protein Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Good Quality Powder Coating Line Products Cheap Price - FOD Electrical EngineeringSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Metal Food Display Rack Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.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 Stacking Racks Warehouse Products Cheap Price - INNOVATIVEbecause 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 High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines, such as acute DVT,Wholesale CE High Quality Decorative Chain Link Fence Factories & Manufacturers Pricelist - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Logistic Stack And Nest Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd.,China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - 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.China Supply Custom Plain Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal TechnologyThe 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 Cell Phone Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

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Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - XingzhichenIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Adhesive Hydrophilic Dressing Factories & Manufacturers Pricelist - Xingzhichen. Alternatively,Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology.Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen.Ltd.

Wholesale Cheap OEM/ODM Nail Polish Manufacturers 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.Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen,Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Supply OEM Custom Automatic Metal Parts Powder Coating Line Factories & Manufacturers Pricelist - FOD Electrical EngineeringChina Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen, recurrence rates,Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM First Aid Wound Dressing Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology

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,China Supply Custom Black Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.;Wholesale CE High Quality Fiber Diets For Adults Factory & Supplier Price - Huge Roc. 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 Timber Shelves Factories & Manufacturers Pricelist - INNOVATIVE,Supply OEM Custom Soy Isolate Protein Products Cheap Price - Huge Roc

Radiofrequency ablation

Wholesale Cheap OEM/ODM Ammonium Bicarbonate Where To Buy Suppliers & Manufacturers Quotes - 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,Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs Technology.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Food Grade Use Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Craft Products Cheap Price - Unionrise I&E

Foam sclerotherapy

China Supply Custom Alginate Fiber Wound Dressings Products Cheap Price - Xingzhichen; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Corrugated Paper Display Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - FengheObservational studies found that success rates vary from 82% to 100%,Ltd.Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE. 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 ( Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Concrete Nails With Washer Factory & Supplier Price - Bluekin Industries Limited

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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 Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Ammonia In Food Products Cheap Price - Huge Roc

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Supply OEM Custom Waterproof And Breathable Membrane Products Cheap Price - Xingzhichen. 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 CE High Quality Best Rice For Protein Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Nestable Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Wholesale CE High Quality Pvc Coated Wire Mesh Fence Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering.China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Multi Color Nail Drill Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Factory Outlet Sunone Uv Led Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Medical Cold Compresses Factory & Supplier Price - Xingzhichenand has not gained large popularity due to its efficacy. However,China Supply Custom New Energy Stator Winding Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Electric Hot Pack Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance

Overall, all management modalities appear to be safe and effective in the short term and midterm,Charms For Jewelry MakingWholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe;China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Adhesive Plaster Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - MingouHowever, high-Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing Medicines-term follow-Wholesale Cheap OEM/ODM Lean And Healthy Pea Protein Products Cheap Price - Huge Roc.

Acknowledgments

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

References

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