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).^{Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Resistant Ptfe Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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.).^{Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc}China Supply Custom Football Door Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines,Hdpe Pipe Conveyor Roller}Supply OEM Custom Wooden Shelving Systems Products Cheap Price - INNOVATIVE; 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,China Supply Custom Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.

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 Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong Toys}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines}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,^{By Dealer - Cnc Wood Turning Lathe}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 Cheap OEM/ODM Flexible Hose Factory & Supplier Price - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc, such as acute DVT,^{Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines,China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering—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 Mfa Insulation Wire Products Cheap Price - FOD Electrical Engineering}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 Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate 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

Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{China Supply Custom Single Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering}Wholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - 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 Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE}

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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 CE High Quality Nail Product Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 Sodium Saccharin Food Grade Products Cheap Price - Huge Roc,China Supply Custom Foldaway Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co.}Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou.Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines.Supply OEM Custom Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Multi-Function Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Chang Chun Bp04 Wholesaler Quotes & PriceList}Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou.China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE;Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Ltd.}However, high-Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines-term follow-Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology.

Acknowledgments

References