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 Antianemic Agents Tablet Factory & Supplier Price - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe. 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 CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited).^{Supply OEM Custom Bakers Ammonia Products Cheap Price - Huge Roc}Supply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..^{China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines,m.flsygroup.com}Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE; 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 Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials Co., Ltd..

Table 1

CEAP classification: C (clinical component)

Ltd.

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.^{Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines,Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Pvc Coated Wire Mesh Fence Products Cheap Price - 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,^{Carbonless Paper Sheet In 70x100cm}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 Electric Powder Coating Oven Factories & Manufacturers Pricelist - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Plastic Tote Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen,Wholesale Cheap OEM/ODM Stacking Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.,Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - 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.^{Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE}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 Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,Supply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Peeling

Foam sclerotherapy

Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE; it can be undertaken in the outpatient clinic,Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe. ^Ltd.Observational studies found that success rates vary from 82% to 100%,^{Abrasive Blasting Machine}Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE. 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.^{Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe}

China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc

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.

Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited

Wholesale CE High Quality Brown Rice Protein Benefits Factory & Supplier Price - 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 Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E,Supply OEM Custom Sand Blasting Nozzle Factories & Manufacturers Pricelist - Mingou.^{Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E}China Supply Custom White Chicken Wire Mesh Products Cheap Price - Bluekin Industries Limited.Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc.^{Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Automotive Electric Trunk Spring}Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc.China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe;Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen,Supply OEM Custom Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge Roc}However, high-Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc-term follow-China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..

Acknowledgments

References