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).^{China Supply Custom Neuropion Injection Factories & Manufacturers Pricelist - KeMing Medicines}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Zippo Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance. 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 ( Ltd.).^{Wholesale Cheap OEM/ODM Poultry Vitamin E Factories & Manufacturers Pricelist - KeMing Medicines}China Supply Custom Brown Rice Pea Protein Factory & Supplier Price - Huge Roc.^{Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc,Gold Foil Glass Mosaic Tile}Wholesale Cheap OEM/ODM Plastic High Pressure Water Hose 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 Sand Blasting Gun Products Cheap Price - Mingou.

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 Cheap OEM/ODM Silver Brazing Welding Rod Products Cheap Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Grocery Shelves Factory & Supplier Price - INNOVATIVE}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Artificial Plants Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Supermarket Plastic Container Products Cheap Price - Zhongyi Plastic Technology Co.}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 Cheap OEM/ODM Industrial Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology}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 Power Cable Manufacturers Products Cheap Price - FOD Electrical Engineering, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality Lid Attached Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., such as acute DVT,^{Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Lcd Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Bathroom Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Wholesale CE High Quality Carpet Synthetic Turf Products Cheap Price - Green Link New Materials 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.^{China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited}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.^{China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom 1/4 Pressure Washer Drain Sewer Cleaning Nozzle Suppliers & Manufacturers Quotes - Mingou). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Biological Dressing Products Cheap Price - Xingzhichen, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Ltd.

Foam sclerotherapy

Supply OEM Custom Wooden Shelving Systems Products Cheap Price - INNOVATIVE; it can be undertaken in the outpatient clinic,China Supply Custom Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.^{China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Wholesale CE High Quality Electronic Water Bottle Products Cheap Price - Jade Rabbit Electrical Appliance}Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 (Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E}

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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 Chocolate Brown Rice Protein Powder 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 Antibiotic Products Cheap Price - KeMing Medicines,China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality High Fiber Diet Foods Factory & Supplier Price - Huge Roc}Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate Factory & Supplier Price - Huge Roc.China Supply Custom Chain Link Fence Cage Products Cheap Price - Bluekin Industries Limited.China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology.Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd..^{Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Ammonium Bicarbonate Used For Biscuits Suppliers & Manufacturers Quotes - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.^{Wholesale Cheap OEM/ODM Aluminium Discs Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Small Hole Chicken Wire Mesh Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited;Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.^{Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Wholesale CE High Quality Used Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}However, high-China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - Fenghe-term follow-Wholesale CE High Quality Plant Based Pea Protein Powder Products Cheap Price - Huge Roc.

Acknowledgments

References