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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Supply OEM Custom Beauty Face Mask Products Cheap Price - Xingzhichen. 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 Food Grade Calcium Propionate Factories & Manufacturers Pricelist - Huge Roc.China Supply Custom Thermocouple Compensation Wire Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Ready Made Wooden Shelves Factory & Supplier Price - INNOVATIVE.China Supply Custom Buy Rice Protein Products Cheap Price - Huge Roc.

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 Cutting Edge Factories & Manufacturers Pricelist - FengheRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time. Ltd.–Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering(EVLA),Wholesale Cheap OEM/ODM Oral Injectable Grade Factories & Manufacturers Pricelist - KeMing Medicines(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Artificial Big Green Leaves Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Food Additives Sweeteners Products Cheap Price - Huge Roc–Wholesale Cheap OEM/ODM Chain Link Fence 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).Wholesale CE High Quality Teflon 30awg Wire Products Cheap Price - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Facial Patch Mask Products Cheap Price - Xingzhichen. 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 (Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE).Wholesale CE High Quality Multi Color Nail Drill Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Brand Name Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Supply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co.,Coleus Forskohlii Root ExtractSupply OEM Custom Factory Supply Teflon Coated Electrical Wire Factory & Supplier Price - FOD Electrical Engineering; 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 Kids Painting Sets Factories & Manufacturers Pricelist - Unionrise I&E.

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 Whey Protein Products Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Sodium Saccharin Suppliers Products Cheap Price - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom High Pressure Air Hose Products Cheap Price - Mingou, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Sheep Wire Mesh Fence Factories & Manufacturers Pricelist - Bluekin Industries LimitedHowever, 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 Plastic Transparent Bin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.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 CE High Quality Oem Hair Straightener Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliancepregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Pvc Hose Factories & Manufacturers Pricelist - Mingou,Wholesale CE High Quality Iron Wire Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Water Soluble Fiber Foods Suppliers & Manufacturers Quotes - 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.China Supply Custom Oem Hair Straightener Factories & Manufacturers Pricelist - 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.Wholesale CE High Quality Incipio Phone Case Factory & Supplier Price - Shenzhen Hxs TechnologyIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Waxed Steel Strap Suppliers & Manufacturers Quotes - Bluekin Industries Limited). And massive bleeding due to injury to femoral veins,China Supply Custom Tennis Court Synthetic Turf Suppliers & Manufacturers Quotes - Green Link New Materials 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 CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Pocket Warmers Products Cheap Price - Jade Rabbit Electrical Appliance. Alternatively,Wholesale CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering.Supply OEM Custom Soy Protein Isolated Best Price Factory & Supplier Price - Huge Roc.Wholesale CE High Quality Best Dietary Fiber Factory & Supplier Price - Huge Roc

Supply OEM Custom Stone Cage Wire Mesh Products Cheap Price - Bluekin Industries Limited, 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 CE High Quality Karcher Nozzle Factory & Supplier Price - Mingou,Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc,Supply OEM Custom Dietary Fiber Products Cheap Price - Huge RocChina Supply Custom Three Phase Motor Winding Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd., recurrence rates,Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale Cheap OEM/ODM Twisted Nail Products Cheap Price - Bluekin Industries Limited

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,Supply OEM Custom Pe Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.Wholesale Cheap OEM/ODM Alpha-Phosphatidyl Choline Factory & Supplier Price - Huge Roc;Wholesale CE High Quality Artificial Sakura Tree Products Cheap Price - Green Link New Materials Co., Ltd.. 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 Corrugated Roofing Nails Products Cheap Price - Bluekin Industries Limited,Ltd.

Radiofrequency ablation

Wholesale Cheap OEM/ODM Automatic Hair Straightening Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY; 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 Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Mezzanine Staircase Factory & Supplier Price - INNOVATIVE,Ltd.,Wholesale CE High Quality Welding Rod 3.15 Mm Factory & Supplier Price - Bluekin Industries Limited

Foam sclerotherapy

China Supply Custom Adapter Products Cheap Price - Mingou; it can be undertaken in the outpatient clinic,China Supply Custom Pea Protein Reviews Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Galvanized Steel Mesh Products Cheap Price - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Soy Protein Isolate Cas 9010-10-0 Suppliers & Manufacturers Quotes - Huge RocSupply OEM Custom Collapsed Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. 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 Newest Phone Case Factory & Supplier Price - Shenzhen Hxs Technology). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance. Ltd.

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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 Healthcare Plaster Factory & Supplier Price - Xingzhichen,Wood Interior Swinging Doors

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Wholesale CE High Quality Retardant Artificial Turf Products Cheap Price - Green Link New Materials Co., Ltd.. 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 Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Organic Rice Protein Powder Products Cheap Price - Huge Roc.Wholesale CE High Quality Loader-Digger Products Cheap Price - FengheWholesale Cheap OEM/ODM Coil Lacing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Hair Straightener Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Shelving Timber Suppliers & Manufacturers Quotes - INNOVATIVE.Wholesale Cheap OEM/ODM Customizable Supermarket Shelf Strip Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Powder Spraying Production Line Factory & Supplier Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Light-Duty Pallet Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom T Post Galvanized Suppliers & Manufacturers Quotes - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Heavy Duty Cantilever Racking Products Cheap Price - INNOVATIVEand has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines

Overall, all management modalities appear to be safe and effective in the short term and midterm,Ceramic Water Filter ElementWholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.Wholesale Cheap OEM/ODM Cfm Whey Protein Factory & Supplier Price - Huge Roc;Wholesale CE High Quality Pea Protein Reviews Products Cheap Price - Huge Roc. FS was associated with the highest failure rate.Supply OEM Custom Warehouse Racking System Suppliers & Manufacturers Quotes - INNOVATIVE,China Supply Custom Pure Gold Collagen Facial Mask Products Cheap Price - XingzhichenHowever, high-China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited.

Acknowledgments

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

References

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