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Int Surg. 2015 Jan; 100(1): 185–189.

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Abstract

Wholesale Cheap OEM/ODM Gmo Free Soya Lecithin Products Cheap Price - 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 Cheap OEM/ODM Herbal Plaster Suppliers & Manufacturers Quotes - Xingzhichen.Wholesale CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - Xingzhichen.

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 Motorcycles Aluminum Casting Parts Suppliers & Manufacturers Quotes - Highpoint MachineryRisk 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 Foot Bath Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),China Supply Custom Easy Patch Factory & Supplier Price - Xingzhichen(RFA), foam sclerotherapy (FS),China Supply Custom Wooden Slatted Shelves Products Cheap Price - INNOVATIVE.Wholesale CE High Quality Soy Protein Shakes Suppliers & Manufacturers Quotes - Huge RocMessenger Bag Leather

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 RocThe 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 - XingzhichenWholesale 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,Banana Production Line High Quality SupplierChina 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..

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 RocSymptomatic 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,Wholesale Cheap OEM/ODM What Has Fiber Products Cheap Price - Huge Rocbecause 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 Limitedpregnancy, 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 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.Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - FengheIt 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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Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Vitamin B Complex Factory & Supplier Price - KeMing MedicinesIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc. Alternatively,China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen.Ltd.

China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc, 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.Supply OEM Custom Painting Palette Factories & Manufacturers Pricelist - Unionrise I&E,Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Propionic Acid Calcium Salt Suppliers & Manufacturers Quotes - Huge RocSupply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys,Wholesale CE High Quality Wooden Slatted Shelving Factory & Supplier Price - INNOVATIVE

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 Rice Whey Protein Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Isp Products Cheap Price - Huge Roc;Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Calcium Propionate For Food Factories & Manufacturers Pricelist - Huge Roc,Electric Face Cleaning Brush

Radiofrequency ablation

China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - 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,Wholesale CE High Quality Top Level Vital Wheat Gluten 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 Artificial Sports Turf Factory & Supplier Price - Green Link New Materials Co.,Wholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology,Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.

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%,Handset Receiver For Audience Response Systems Suppliers for SaleWholesale 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.

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 Teflon Twin Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality 22 Awg Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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Overall, all management modalities appear to be safe and effective in the short term and midterm,Ltd.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 - MingouHowever, 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

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

References

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