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).^{Wholesale Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Calcium Propionate In Bread Products Cheap 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 (China Supply Custom Natural Dietary Fiber Factories & Manufacturers Pricelist - Huge Roc).^{Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen}China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.^{Supply OEM Custom Grocery Store Shelving For Sale Products Cheap Price - INNOVATIVE,Aluminum Decorative Net Factory OEM/ODM Product}Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - 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,Supply OEM Custom Plastic Container Dolly 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 CE High Quality Aluminum Die Casting Mold Factories & Manufacturers Pricelist - Highpoint Machinery,Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}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,^{China Supply Custom Die Casting Aluminum Lighting Radiator Products Cheap Price - Highpoint Machinery}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 Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen, such as acute DVT,^{Supply OEM Custom Where Can You Buy Rice Protein Powder Factory & Supplier Price - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc,Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY—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 Blower Wheel Aluminum Casting Factories & Manufacturers Pricelist - Highpoint Machinery}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 Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Baking Soda In Water Products Cheap Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines, 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 Order Phone Case Products Cheap Price - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Brown Rice Protein Nutrition Factories & Manufacturers Pricelist - Huge Roc.^{Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM What Food Has Alot Of Fiber Factory & Supplier Price - Huge Roc}Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance. 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 Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}

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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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Wholesale Cheap OEM/ODM Examples Of High Fiber Foods 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 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..^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.Wholesale Cheap OEM/ODM Best Sources Of Fiber In Food Products Cheap Price - Huge Roc.China Supply Custom Cheap Hot Water Bottle Factory & Supplier Price - Jade Rabbit Electrical Appliance.Wholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Roll Products Cheap Price - Green Link New Materials Co., Ltd..^{Supply OEM Custom 1L Foam Lance Factory & Supplier Price - Mingou}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE}and has not gained large popularity due to its efficacy. However,Wholesale Cheap OEM/ODM Stranded Conductor Silicone Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering.^{Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Acid Violet 43}China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Hanging Conveyor System Products Cheap Price - FOD Electrical Engineering;Wholesale Cheap OEM/ODM Kids Coloring Factories & Manufacturers Pricelist - Unionrise I&E. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Wholesale Phone Cases Factories & Manufacturers Pricelist - Shenzhen Hxs Technology,Wholesale CE High Quality Now Sports Pea Protein Factories & Manufacturers Pricelist - Huge Roc}However, high-Wholesale CE High Quality Pharmaceutical Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology-term follow-Wholesale CE High Quality Stackable No Foldable Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..

Acknowledgments

References