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Int Surg. 2015 Jan; 100(1): 185–189.

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Abstract

China Supply Custom Lotion Emulsifying Machine 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 Medical Cold Compresses Factory & Supplier Price - Xingzhichen.Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen.Supply OEM Custom Mobile Shelves Factory & Supplier Price - INNOVATIVE.Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - 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%.Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries LimitedRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM Kid Drawing Board Suppliers & Manufacturers Quotes - Unionrise I&EChina Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge RocHigh 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 Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering(EVLA),Supply OEM Custom Bulk Pea Protein Factory & Supplier Price - Huge Roc(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Electric Paint Spray System Factories & Manufacturers Pricelist - FOD Electrical EngineeringAtm Keyboard

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).Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - XingzhichenThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Motor Manufacturing Turn-Key Service Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment 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 (China Supply Custom Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY).China Supply Custom Floor Mats Factory & Supplier Price - Green Link New Materials Co.Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - Huge Roc.China Supply Custom Tornado Gun Suppliers & Manufacturers Quotes - Mingou,China Security Check X Ray Luggage ScannerChina Supply Custom Foldable Picnic Basket Products Cheap Price - 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,Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - 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 Galvanized Wire Mesh 2 Mesh 5x5 Suppliers & Manufacturers Quotes - Bluekin Industries Limited,China Supply Custom Black Mud Facial Mask Factory & Supplier Price - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale CE High Quality Medical Plaster Pain Relief Patch 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,gilardinoflooring.combecause 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 Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Plastic Container Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,Supply OEM Custom Pallet Shelves For Sale Factory & Supplier Price - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen—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 Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYThe 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 China Wholesale Sodium Cyclamate Products Cheap Price - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., 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 Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY; these belong to the category of minimally invasive catheter-based procedures.Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines. Alternatively,China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Hand Warmers Football Factory & Supplier Price - Jade Rabbit Electrical Appliance. Ltd.

Wholesale CE High Quality Natural Fiber Products Cheap Price - 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.Wholesale Cheap OEM/ODM Organic Black Facial Mask Factories & Manufacturers Pricelist - Xingzhichen,China Supply Custom Vitamin B9 Products Cheap Price - KeMing Medicines,m.yunyangcosmetic.comWholesale Cheap OEM/ODM Automatic Robtic Spraying System Products Cheap Price - FOD Electrical Engineering, recurrence rates,Supply OEM Custom Waterproof Bathroom Carpet Products Cheap Price - Green Link New Materials Co., Ltd..Wholesale CE High Quality sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Oil Antimalarials Easy To Use Suppliers & Manufacturers Quotes - KeMing Medicines

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,Wholesale Cheap OEM/ODM Industrial Infrared Heater Suppliers & Manufacturers Quotes - FOD Electrical EngineeringSupply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery;Wholesale Cheap OEM/ODM Amoxicillin Factory & Supplier Price - KeMing Medicines. 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 Flexible Hose Factory & Supplier Price - Mingou,0.8mm Pitch Pin Header Wholesaler Quotes & PriceList

Radiofrequency ablation

China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines; 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 Raw Brown Rice Protein 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.Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering,Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines

Foam sclerotherapy

Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc.China Supply Custom Cell Phone Case And Accessories Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Concentrated Soy Protein Functional 65% Factories & Manufacturers Pricelist - Huge RocWholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical Engineering. 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 Green Grass Carpet Suppliers & Manufacturers Quotes - Green Link New Materials Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - Huge Roc

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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 Face Paint Factories & Manufacturers Pricelist - Unionrise I&E,Wholesale Cheap OEM/ODM Food Preservatives Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc

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Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc. 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.Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance,Supply OEM Custom Ptfe Teflon Wire Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom Gold Plated Tungsten Wire Factory & Supplier Price - FOD Electrical EngineeringWholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Galvanized Welded Wire Mesh Buy Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Artificial Turf Golf Factory & Supplier Price - Green Link New Materials Co., Ltd..Supply OEM Custom Gangkai Non Woven Surgical Face Masks Factory & Supplier Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Best Sources Of Fiber In Food Products Cheap Price - Huge Roc.Supply OEM Custom Plaster For Rheumatism Suppliers & Manufacturers Quotes - XingzhichenIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Bulk Supply High Quality Soy Protein Isolate Factories & Manufacturers Pricelist - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Track Suppliers & Manufacturers Quotes - FengheWholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou.Wholesale CE High Quality Roll Products Cheap Price - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering. FS was associated with the highest failure rate.China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries LimitedHowever, high-China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY-term follow-China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering.

Acknowledgments

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

References

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