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Abstract

Supply OEM Custom 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

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 Spraying Reciprocate Machine Products Cheap Price - FOD Electrical EngineeringRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge Roc Ltd.High 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 Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited(EVLA),Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing Medicines(RFA), foam sclerotherapy (FS),Wholesale CE High Quality Hinged Lid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Black Steel Strapping Strip Manufacturer Factories & Manufacturers Pricelist - Bluekin Industries LimitedSupply OEM Custom Common Nail Products Cheap Price - 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). Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines. 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 Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc).Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries LimitedChina Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E.China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen,Sow Farrowing Pens Fatten CageWholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou; 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 Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited.

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 Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Ltd.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,Toys Safety Testing Equipmentbecause 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 Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc, such as acute DVT,Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Supply OEM Custom Crates And Skates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.—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 CE High Quality Mobile Shelving Products Cheap Price - INNOVATIVEThe 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 Antifungal Agents Products Cheap Price - KeMing MedicinesIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology). And massive bleeding due to injury to femoral veins,Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E, 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 Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs Technology; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Artificial Ficus Plant Suppliers & Manufacturers Quotes - Green Link New Materials Co.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Packing Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. Alternatively,Wholesale Cheap OEM/ODM Embossed Aluminum Sheet Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Wholesale Cheap OEM/ODM Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines.Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE

Wholesale CE High Quality Organic Sprouted Brown Rice Protein 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.Supply OEM Custom Fence Post Concret Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Coil Nails For Pallets Price Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM 25000 Rpm Nail Drill Products Cheap Price - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom Multicolor Artificial Green Leaf Products Cheap Price - Green Link New Materials Co., Ltd., recurrence rates,Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom What Foods Have Fiber In It Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance

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 CE High Quality Electric Hot Pack Suppliers & Manufacturers Quotes - Jade Rabbit Electrical ApplianceSupply OEM Custom Single-Row Crossover Rolling Type Suppliers & Manufacturers Quotes - Fenghe;Wholesale Cheap OEM/ODM Ceramic Hair Straightening Brush Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY. 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 Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen,Supply OEM Custom Tensile Strength 16 Gauge Tie Wire Products Cheap Price - Bluekin Industries Limited

Radiofrequency ablation

Wholesale CE High Quality Racking System For Warehouse Products Cheap Price - INNOVATIVE; 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 Multi Color Nail Drill Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.

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 Mobile Library Shelving Products Cheap Price - INNOVATIVE,Supply OEM Custom Anticoughtin Factory & Supplier Price - KeMing Medicines,China Supply Custom Electric Ir Heater Products Cheap Price - FOD Electrical Engineering

Foam sclerotherapy

Wholesale CE High Quality Grader Factory & Supplier Price - Fenghe; it can be undertaken in the outpatient clinic,Supply OEM Custom G1/4 F Snow Foam Lance Factories & Manufacturers Pricelist - Mingou.Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.Observational studies found that success rates vary from 82% to 100%,China Supply Custom Vc Effervescent Tablet Factories & Manufacturers Pricelist - KeMing MedicinesChina Supply Custom Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 (Supply OEM Custom Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited

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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.Wholesale CE High Quality Electric Gel Heating Pad Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,China Biggest Concrete Mixer

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China Supply Custom Brass Adapter Products Cheap Price - Mingou. 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 Metal Parts Products Cheap Price - Fenghe,Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing MedicinesSupply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen.China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichenand has not gained large popularity due to its efficacy. However,China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E.Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Octadecyl Dimethyl Amine OxideSupply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE.China Supply Custom Hangzhou Jinding Aluminium Industry Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology;Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.,Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal TechnologyHowever, high-Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE-term follow-Wholesale CE High Quality Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

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

References

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