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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Wholesale CE High Quality Plastic Wheeled Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Supply OEM Custom Nichrome Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Fence Barb Wire Arm Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Pea Protein Powder Brands Factory & Supplier Price - Huge Roc.China Supply Custom Cooling Stickers Factories & Manufacturers Pricelist - Xingzhichen.
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 Cheap OEM/ODM Green Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Motorcycle Face Mask Factory & Supplier Price - Xingzhichen–Wholesale Cheap OEM/ODM Spray Machine For Paint Factory & Supplier Price - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance(EVLA),Wholesale Cheap OEM/ODM What Foods Are High In Fiber List Products Cheap Price - Huge Roc(RFA), foam sclerotherapy (FS),China Supply Custom Max Protein Factories & Manufacturers Pricelist - Huge Roc.Wholesale Cheap OEM/ODM Foldable Basket Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.–Wholesale Cheap OEM/ODM Protein Powder Ratings Factories & Manufacturers Pricelist - Huge Roc
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 Animal Protein Concentrate Products Cheap Price - Huge RocThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom Add Sweetness To Beverages Factories & Manufacturers Pricelist - Huge Roc. 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 Antibiotics For Animals Suppliers & Manufacturers Quotes - KeMing Medicines).Wholesale Cheap OEM/ODM Cutting Edge Factory & Supplier Price - FengheWholesale Cheap OEM/ODM Nestable Plastic Packaging Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Cable Aluminum Foil Products Cheap Price - Shuanglin Jiate Metal Technology,www.acctek-cnc.comWholesale CE High Quality Armature Testing Panel Factories & Manufacturers Pricelist - 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 Cheap OEM/ODM Green Peas Protein Suppliers & Manufacturers Quotes - 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.Wholesale CE High Quality Poultry Antibiotics Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Fep/Pfa Cable Factory & Supplier Price - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.
Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge RocHowever, 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 Aluminium Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal 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.Supply OEM Custom Spiral Bevel Gear Suppliers & Manufacturers Quotes - Fenghe, and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Wholesale Cheap OEM/ODM Children Foam Toys Products Cheap Price - Unionrise I&E, such as acute DVT,Ltd.pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Painted Aluminum Coil Products Cheap Price - Shuanglin Jiate Metal Technology,Wholesale CE High Quality Solid Timber Floating Shelves Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Mirror Polished Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology—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.Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - 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.Wholesale CE High Quality Brown Rice Protein Factory & Supplier Price - Huge RocIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Suppliers & Manufacturers Quotes - INNOVATIVE, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.
Table 2
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China Supply Custom Antibiotics Lincomycin Hcl Capsule Factories & Manufacturers Pricelist - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures. Ltd.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.China Supply Custom Natural Rice Protein Isolate Powder Factory & Supplier Price - Huge Roc. Alternatively,China Supply Custom Aluminium Casting CNC Suppliers & Manufacturers Quotes - Highpoint Machinery.Supply OEM Custom Bicarbonate Sodium/Sodium Bicarbonate Food Grade Factories & Manufacturers Pricelist - Huge Roc.Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY
Supply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., 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.China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.,Ltd.,Supply OEM Custom Facial Mask Application Products Cheap Price - XingzhichenSupply OEM Custom Organic Brown Rice Protein Products Cheap Price - Huge Roc, recurrence rates,Wholesale Cheap OEM/ODM Artificial Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc,Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.
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,Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVEChina Supply Custom Antibiotic Powder Factory & Supplier Price - KeMing Medicines;Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale Cheap OEM/ODM Snowing Artificial Christmas Trees Suppliers & Manufacturers Quotes - Green Link New Materials Co.,China Supply Custom Nail Uv Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY
Radiofrequency ablation
China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; 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 Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..
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 Poultry Vitamin E Selenium Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical Engineering,China Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY
Foam sclerotherapy
Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - MingouObservational studies found that success rates vary from 82% to 100%,Supply OEM Custom Antianemic Agents Tablet Products Cheap Price - KeMing MedicinesChina Supply Custom Plastic Crates Hinged Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. 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 On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical Engineering). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc
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.Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc,Co2 Laser Metal Cutting Machine
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Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited. 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 CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited,China Supply Custom Unflavored Whey Protein Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Industry Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.Supply OEM Custom Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Supply OEM Custom Delcom Electric Warm Bag Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Gun-Fix Automatic Uv Paint Spraying Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.China Supply Custom Hangzhou Jinding Aluminium Industry Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Wholesale CE High Quality High Protein Brown Rice Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Hot Sale Plastic Pallet Unfoldable Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Rocand has not gained large popularity due to its efficacy. However,China Supply Custom Plastic Grass Carpet Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering
Overall, all management modalities appear to be safe and effective in the short term and midterm,Supply OEM Custom Vitamin B1 Products Cheap Price - KeMing MedicinesWholesale Cheap OEM/ODM Color Goods Stands Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc;China Supply Custom 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichen,Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs TechnologyHowever, high-Wholesale Cheap OEM/ODM Storage Crate With Cover Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale CE High Quality Hot Dip Galvanized Mesh Fence Products Cheap Price - Bluekin Industries Limited.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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