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).^{Supply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Untensil Aluminium Circle Factory & Supplier Price - Shuanglin Jiate Metal Technology. 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 Storage Mezzanines Factory & Supplier Price - INNOVATIVE).^{Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}China Supply Custom Injection Machine Plastic Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..^{Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge Roc,Industrial Sheep Wool Dewatering Machine}China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment 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 Pea Protein Reviews Factory & Supplier Price - Huge Roc.

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.^{China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co.,Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - Mingou}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - 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,^{Wholesale CE High Quality Die Castinjg Tee Fittings Hydraulic Components Factories & Manufacturers Pricelist - 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 CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,^{Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom High Soluble Fiber Factory & Supplier 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 Perfect Whey Protein Factory & Supplier Price - Huge Roc}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 Cheap OEM/ODM 24w/48w Sunone Uv Led Nail Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Vented Crate Products Cheap Price - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited, 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

Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Clotrimazole Products Cheap Price - KeMing Medicines.^{China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Pe Wax Powder}China Supply Custom Sodium Cyclamate Manufacturernate Products Cheap Price - Huge Roc. 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 Stator Testing Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Soy Protein Isolated Best Price Factory & Supplier Price - 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.

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Wholesale Cheap OEM/ODM Timber Shelves Factories & Manufacturers Pricelist - INNOVATIVE. 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 Carbon Steel Parts Products Cheap Price - Fenghe,Wholesale CE High Quality Automatic Metal Parts Powder Coating Line Factories & Manufacturers Pricelist - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Effervescent Vitamin C Tablets Products Cheap Price - KeMing Medicines}Wholesale Cheap OEM/ODM Led Nail Uv Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen.China Supply Custom Hot Dipped Galvanized Welded Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited.China Supply Custom Ammonium Bicarbonate Vegan Suppliers & Manufacturers Quotes - Huge Roc.Wholesale Cheap OEM/ODM Stationary Type Five Axis Reciprocating Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Chemical Formula Of Ammonium Bicarbonate Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Vitamin Tablet Products Cheap Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Vitamin B Complex Capsules Suppliers & Manufacturers Quotes - KeMing Medicines.^{Wholesale Cheap OEM/ODM Automatic Rotor Die Casting Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale CE High Quality Raw Material Of Wire Nail Suppliers & Manufacturers Quotes - Bluekin Industries Limited}China Supply Custom Soybean Dietary Fibre Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality Fiber Diet Chart Suppliers & Manufacturers Quotes - Huge Roc;Wholesale Cheap OEM/ODM Foldable Plastic Crat Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{Wholesale CE High Quality Inlet Water Filter Factory & Supplier Price - Mingou,Supply OEM Custom Brown Rice And Protein Suppliers & Manufacturers Quotes - Huge Roc}However, high-Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.

Acknowledgments

References