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 CE High Quality Gangkai Non Woven Surgical Face Masks Suppliers & Manufacturers Quotes - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Poultry Drugs Factory & Supplier Price - 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 (Supply OEM Custom Gangkai Non Woven Surgical Face Masks Factory & Supplier Price - Xingzhichen). ^Ltd.Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc.^{Wholesale Cheap OEM/ODM Professional Hair Straightener Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Modern Led Ceiling Lamp}China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc; 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 Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen.

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 Natural Fiber Products Cheap Price - Huge Roc,Wholesale CE High Quality Racking System For Warehouse Products Cheap Price - INNOVATIVE}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Silver Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited}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 Bird Cage Welded Wire Mesh Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited}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.Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,^{China Supply Custom Hand Warmers Walmart Factory & Supplier Price - Jade Rabbit Electrical Appliance}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Bicarbonate Supplement Factory & Supplier Price - Huge Roc,China Supply Custom Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited—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 Cheap OEM/ODM Whey Protein Powder Benefits Factories & Manufacturers Pricelist - 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. ^Ltd.It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom ODM Mobile Phone Case Factory & Supplier Price - Shenzhen Hxs Technology). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Bitzer Valve Gasket

Foam sclerotherapy

Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.^{Wholesale CE High Quality Supplementary Electrolyte Factory & Supplier Price - KeMing Medicines}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Small Plastic Containers Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Wholesale Cheap OEM/ODM Anorectal Dressing 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 ( Ltd.). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Machine To Manufacture Screw Nails Factories & Manufacturers Pricelist - 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.

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China Supply Custom White Wooden Shelf Brackets Products Cheap Price - 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.Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering,China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou.^{China Supply Custom Awg Thermocouple Compensation Extension Wire Products Cheap Price - FOD Electrical Engineering}Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc.Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Rotor Assembly Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Rice Protein Shake Factories & Manufacturers Pricelist - Huge Roc}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology.^{Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Adult Artist Sketching Suppliers & Manufacturers Quotes - Unionrise I&E}China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc;Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering}However, high-China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc-term follow-China Supply Custom Where To Buy Phone Case Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.

Acknowledgments

References