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Abstract

China Supply Custom Soybean Dietary Fibre 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 CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing MedicinesChina Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale CE High Quality Cheap Materials For Nail Factory & Supplier Price - Bluekin Industries Limited(EVLA),China Supply Custom Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - Fenghe.Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical EngineeringChina Supply Custom Aluminium Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology

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 Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Plastic Storage Basket Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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.).Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge RocWholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology,Timing Blet PulleyWholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.; 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 Hand Warmer Packs Factory & Supplier Price - Jade Rabbit Electrical Appliance.

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 Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Magic Hair Curlers Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRYSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Automotive Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - XingzhichenHowever, 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 Cheap OEM/ODM Unit Weight Of Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limitedbecause 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 CE High Quality Calcium Propionate Uses Factories & Manufacturers Pricelist - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Best Pea Protein Powder For Weight Loss Suppliers & Manufacturers Quotes - Huge Roc, such as acute DVT,China Supply Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Nested And Plastic Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Vitamin B Complex Syrup Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge Roc—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 Super Whey Protein Factories & Manufacturers Pricelist - Huge RocThe 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 Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs TechnologyIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Low Price Natural Soya Bean Lecithin Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Vitamin Ad3e Injection Products Cheap Price - KeMing Medicines, 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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Wholesale CE High Quality Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Car Spray Booth Oven Factory & Supplier Price - FOD Electrical EngineeringIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVE. Alternatively,Supply OEM Custom Painting Palette Factories & Manufacturers Pricelist - Unionrise I&E.China Supply Custom Soya Bean Factory & Supplier Price - Huge Roc.Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - Huge Roc

China Supply Custom Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - 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 Best Pea Protein Powder For Weight Loss Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Bicarbonate Sodium/Sodium Bicarbonate Food Grade Factories & Manufacturers Pricelist - Huge Roc,China Acupressure Mat Really WorkChina Supply Custom Folding Shopping Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Supply OEM Custom Warehouse Racking Costs Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom Electrical Wire Flat Cable Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom 8 - Pea Protein Isolate Factories & Manufacturers Pricelist - Huge Roc

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 Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVESupply OEM Custom Albendazole For Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines;Wholesale Cheap OEM/ODM Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 High Soluble Fiber Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Pigeon Multivitamin Factories & Manufacturers Pricelist - KeMing Medicines

Radiofrequency ablation

Supply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance; 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 Brown Rice Pea Protein Factory & Supplier Price - Huge Roc.

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 Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited,Supply OEM Custom China Wholesale Sodium Cyclamate Products Cheap Price - Huge Roc

Foam sclerotherapy

Wholesale Cheap OEM/ODM Plastic High Pressure Water Hose Products Cheap Price - Mingou; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Sand Blasting Gun Products Cheap Price - Mingou.China Supply Custom Now Sprouted Brown Rice Protein Products Cheap Price - Huge RocObservational studies found that success rates vary from 82% to 100%,Metal accessoriesSupply OEM Custom Artificial Plants Trees 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 (Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Wooden Wall Shelves Suppliers & Manufacturers Quotes - 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.

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.Ltd.,Chip Custom Rfid Wristband

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Wholesale CE High Quality Lid Attached Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..China Supply Custom Farm Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.Wholesale CE High Quality Carpet Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Biological Dressing Products Cheap Price - Xingzhichen.Wholesale CE High Quality Aluminum Die Casting Mold Factories & Manufacturers Pricelist - Highpoint Machinery.China Supply Custom Foam Sprayer Factory & Supplier Price - Mingou.Wholesale CE High Quality Inexpensive Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Protein Powder Online Factory & Supplier Price - Huge Roc.China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Calcium Chloride Factory & Supplier Price - KeMing Medicinesand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Corrugated Roofing Nails Products Cheap Price - Bluekin Industries Limited.China Supply Custom Soya Bean Factory & Supplier Price - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Epe Foam Pearl Cotton LineWholesale CE High Quality Automatic Motor Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited;Wholesale CE High Quality Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance. FS was associated with the highest failure rate.Wholesale CE High Quality Eye Mask Sleep Factory & Supplier Price - Xingzhichen,China Supply Custom Binding Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, high-Wholesale CE High Quality Sun9s Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY-term follow-Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..

Acknowledgments

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

References

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