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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Supply OEM Custom Standard Custom Five Axis Reciprocating Machine With Four Plates Factory & Supplier Price - FOD Electrical Engineering. 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 Smooth Slitted Aluminum Strip Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Supply OEM Custom Whey Protein Shake Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Maintenance Free Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited.
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 Baking Soda Uses For Health Suppliers & Manufacturers Quotes - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Phone Case Iphone 8 Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology–Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - XingzhichenHigh 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 Farm Iron Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),Wholesale Cheap OEM/ODM 99% Artemisinin Products Cheap Price - KeMing Medicines(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Maintenance Free Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc–Wholesale CE High Quality Rebar Tying Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited
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 Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE. 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 CE High Quality Small Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.).Supply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc,Grinding Mill Ball MillWholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - 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 Fiber Intake Factories & Manufacturers Pricelist - Huge Roc.
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 Private Label Dietary Fibers Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Mirror Polished Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal TechnologyHowever, 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 Copper Conductor Silicone Wire 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.Supply OEM Custom Sandblasting Gun Products Cheap Price - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,Wholesale Cheap OEM/ODM Sheep Mesh Price Products Cheap Price - Bluekin Industries Limitedpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Sodium Cyclohexylsulfamate Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe—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.Wholesale Cheap OEM/ODM Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.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. Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Mjjc Foam Lance Products Cheap Price - Mingou). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
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Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Automatic Metal Parts Powder Coating Line Factories & Manufacturers Pricelist - FOD Electrical EngineeringIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen. Alternatively,Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE.China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen.Supply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E
Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering, 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 Cheap OEM/ODM Lcd Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Turnvoer Plastic Crates Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Wicker Laundry BasketWholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering,Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.
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 Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge RocSupply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering;China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Hand Warmers Gloves Products Cheap Price - Jade Rabbit Electrical Appliance,China Hand Held Metal Detector Gp3003b1
Radiofrequency ablation
China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - Bluekin Industries Limited; 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 Protein Powder Suppliers & Manufacturers Quotes - 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. Ltd.,Supply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc,China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines
Foam sclerotherapy
Wholesale Cheap OEM/ODM High Pressure Hose Factories & Manufacturers Pricelist - Mingou; it can be undertaken in the outpatient clinic,Supply OEM Custom Cold Rolled Steel Straps Factories & Manufacturers Pricelist - Bluekin Industries Limited.Ltd.Observational studies found that success rates vary from 82% to 100%,Mireflearu WineWholesale Cheap OEM/ODM What Vegetables Are High In Fiber Suppliers & Manufacturers Quotes - 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 Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance
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 Car Pressure Washer Suppliers & Manufacturers Quotes - Mingou,Hanger For Pet Clothes
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Overall, all management modalities appear to be safe and effective in the short term and midterm,Strapping Machine Sealing MachineWholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Adjustable Wire Shelving Factory & Supplier Price - INNOVATIVE;Wholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRYHowever, high-China Supply Custom Professional Hair Curler Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale CE High Quality Nail Head Suppliers & Manufacturers Quotes - Bluekin Industries Limited.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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