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Abstract

Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - 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 China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen.China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc.Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier 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%.Wholesale CE High Quality Protein Powder Online Factory & Supplier Price - Huge RocRisk 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 Warehouse Pallet Racking Systems Suppliers & Manufacturers Quotes - INNOVATIVEWholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries LimitedHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY(EVLA),China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc(RFA), foam sclerotherapy (FS),Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc.China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance10/3 Outdoor Extension Cord

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).China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - 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 (China Supply Custom Diamond Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY).Wholesale CE High Quality Pvc Insulated Cable Products Cheap Price - FOD Electrical EngineeringWholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc. Ltd.,China Supply Custom Hose Factories & Manufacturers Pricelist - MingouChina Supply Custom Plastic Crates Maker 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,China Supply Custom Sodium Bicarbonate Baking Soda 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.Ltd.,China Supply Custom Reinforced Mesh Factories & Manufacturers Pricelist - Bluekin Industries LimitedSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM 9-Vitamin Tablets Factories & Manufacturers Pricelist - KeMing MedicinesHowever, 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 Overmolding Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technologybecause 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 Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology, such as acute DVT,China Supply Custom selfadhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - Highpoint Machinery,China Supply Custom White Rice Protein Products Cheap 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.China Supply Custom Protein Shake Recipes Factories & Manufacturers Pricelist - 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.China Supply Custom hemostasis Factory & Supplier Price - XingzhichenIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Powder Coating Conveyor Systems Factories & Manufacturers Pricelist - FOD Electrical Engineering). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines 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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Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Motor Wire Winding Machines Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen. Alternatively,Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys.Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Cheap Whey Protein Powder Factories & Manufacturers Pricelist - Huge Roc

Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen, 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 What Is Fiber Good For Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Ptfe Wire For Sensor Applications Ul 1180 Factory & Supplier Price - FOD Electrical Engineering,Insert Sticker Medal High Quality SupplierChina Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE.Supply OEM Custom Pvc Coated Wire Mesh Factory & Supplier Price - Bluekin Industries Limited, Ltd.

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 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical EngineeringLtd.;China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Ltd.,Elastic Arm Band

Radiofrequency ablation

Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc; 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,Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE.

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 Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Wholesale CE High Quality Pine Shelving Timber Factories & Manufacturers Pricelist - INNOVATIVE,China Supply Custom Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

Foam sclerotherapy

Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.Observational studies found that success rates vary from 82% to 100%,360 Angel Parking SystemWholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen. 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 Motorcycle Face Mask Factory & Supplier Price - Xingzhichen). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical Engineering

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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.China Supply Custom Animal Protein Concentrate Products Cheap Price - Huge Roc,Wholesale CE High Quality Spindle Rotation Type Painting Line Products Cheap Price - FOD Electrical Engineering

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Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology. 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.China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc.China Supply Custom Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing MedicinesWholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc.China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc.China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - FengheIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technologyand has not gained large popularity due to its efficacy. However,Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Proteins Factories & Manufacturers Pricelist - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,Antimicrobial Underwear Fabric Wholesaler Quotes & PriceListWholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc;China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge RocHowever, high-China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.-term follow-Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou.

Acknowledgments

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

References

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