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 High Fiber Grains Factory & Supplier Price - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Sheep Mesh Price Products Cheap Price - Bluekin Industries Limited. 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 Sand Blasting Gun Products Cheap Price - Mingou).^{Wholesale Cheap OEM/ODM First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen}Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited.^{Wholesale CE High Quality 22 Awg Wire Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Bending Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Blue Color Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology 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,China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

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 Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Lamination Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - 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,^{Supply OEM Custom Disposable Printed Face Mask Suppliers & Manufacturers Quotes - Xingzhichen}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.China Supply Custom Pvc Hose Factory & Supplier Price - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen, such as acute DVT,^{Supply OEM Custom 3x3 Galvanized Welded Wire Fence Products Cheap Price - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou,Wholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery,Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - 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.^{Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc}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 Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou, 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

China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc.^{Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co.}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Phone Case Iphone 5c Factory & Supplier Price - Shenzhen Hxs Technology}Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited. 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 Hand Warming Gloves Factory & Supplier Price - Jade Rabbit Electrical Appliance). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. ^Ltd.

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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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Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology. 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 Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery.^{Wholesale CE High Quality Pea Protein Reviews Products Cheap Price - Huge Roc}China Supply Custom White Rice Protein Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou.China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines.Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys.^{Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Color Painted Waxed Baling Steel Strapping Factories & Manufacturers Pricelist - Bluekin Industries Limited}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.^{Supply OEM Custom Buy Brown Rice Protein Powder Products Cheap Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Three Row Slewing Bearing Products Cheap Price - Fenghe}Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen.China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.;China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Where Can I Get Baking Soda Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Bosch Car Washer Factories & Manufacturers Pricelist - Mingou}However, high-Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering-term follow-China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou.

Acknowledgments

References