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).^{China Supply Custom Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc. 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 Pea Protein Food Grade Factory & Supplier Price - Huge Roc}Supply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E.^{Supply OEM Custom Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality Iphone8 Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology}Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - 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,China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc.

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 Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - Huge Roc}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,^{Flange Butterfly Valves}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 Easy Patch Factories & Manufacturers Pricelist - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe, such as acute DVT,^{Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Slitted Aluminum Strip Factory & Supplier Price - Shuanglin Jiate Metal Technology,Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen,Wholesale Cheap OEM/ODM Agricultural Tractor Factory & Supplier Price - 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.^{China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou}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 CE High Quality Plasitc Used Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Mfa Insulation Wire Factory & Supplier Price - FOD Electrical Engineering, 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 Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines; it can be undertaken in the outpatient clinic,Supply OEM Custom Car Spray Booth Paint Cabinet Baking Oven Products Cheap Price - FOD Electrical Engineering.^{China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology}Observational studies found that success rates vary from 82% to 100%,^{Supply OEM Custom Plasic Crate Made Products Cheap Price - Zhongyi Plastic Technology Co.}Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen. 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 (China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering}

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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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China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines. 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.China Supply Custom Plastic Crates In Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality Weight Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.^{Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc}Supply OEM Custom Brown Rice Based Protein Powder Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Large Plastic Crate Box Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality FG-TYK Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc.China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Wound Dressing Film Factories & Manufacturers Pricelist - Xingzhichen.^{Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Pain Relief Patchcomfort Patch Factory & Supplier Price - Xingzhichen.^{Wholesale Cheap OEM/ODM Potato Chip Cutter Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{N-Octyl Polyethyleneglycol Ether Phosphate}Wholesale CE High Quality Farm Tractor Suppliers & Manufacturers Quotes - Fenghe.Wholesale CE High Quality Good Hair Straightener Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY;Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}However, high-China Supply Custom Protein Shake Recipes Factory & Supplier Price - Huge Roc-term follow-Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..

Acknowledgments

References