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Int Surg. 2015 Jan; 100(1): 185–189.
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Ltd.

Abstract

Wholesale CE High Quality Inexpensive Bookshelves Suppliers & Manufacturers Quotes - INNOVATIVE. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Protein Powder Online Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Corrugated Roofing Nails Products Cheap Price - Bluekin Industries Limited.Wholesale CE High Quality Automatic Motor Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.China Supply Custom Gmo Free Soya Lecithin Factory & Supplier Price - Huge RocRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale CE High Quality Rope Course Advanture Factory & Supplier Price - Shanghai Mutong Toys–China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.High ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale CE High Quality Duckback Hot Water Bag Factory & Supplier Price - Jade Rabbit Electrical Appliance(EVLA),Wholesale CE High Quality Sun9s Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY(RFA), foam sclerotherapy (FS),Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality School Playground Factories & Manufacturers Pricelist - Green Link New Materials Co.–Wholesale Cheap OEM/ODM Aluminum Auto Lamp Housing Suppliers & Manufacturers Quotes - Highpoint Machinery

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 Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong ToysThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Resistant Ptfe Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering. 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 CE High Quality Soy Lecithin Powder Low Price Factories & Manufacturers Pricelist - Huge RocChina Supply Custom Football Door Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Supply OEM Custom Dihydroartemisinin Products Cheap Price - KeMing Medicines,Moto Tire TubeSupply OEM Custom Wooden Shelving Systems 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,China Supply Custom Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.

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 Floating Timber Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Fiberglass Aqua Slide For Pool Suppliers & Manufacturers Quotes - Shanghai Mutong ToysSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing MedicinesHowever, 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,Supply OEM Custom Die Cast Aluminum Motor Housing Factories & Manufacturers Pricelist - Highpoint Machinerybecause 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 Cheap OEM/ODM Flexible Hose Factory & Supplier Price - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc, such as acute DVT,Wholesale Cheap OEM/ODM Vital Wheat Gluten Food Grade Factories & Manufacturers Pricelist - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Antibiotic Products Cheap Price - KeMing Medicines,China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom High Temp Resistant Teflon Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering—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 Mfa Insulation Wire Products Cheap Price - FOD Electrical EngineeringThe 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 Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&EIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Gold Detox Foot Patch Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,Wholesale CE High Quality C6h12nnao3s - Sodium Cyclamate 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

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China Supply Custom Gold Aluminum Foil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology; these belong to the category of minimally invasive catheter-based procedures.China Supply Custom Self Service Car Wash Equipment Suppliers & Manufacturers Quotes - MingouIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical Engineering. Alternatively,China Supply Custom Fitness Center Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom 6s Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology.Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen

Supply OEM Custom Organic Pea Protein Suppliers Factories & Manufacturers Pricelist - Huge Roc, 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.Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E,Wholesale CE High Quality Die Casting Auto Parts Suppliers & Manufacturers Quotes - Highpoint Machinery,Custom Metal Stamping AccessoriesSupply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited, recurrence rates,Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Pea Plant Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - Huge Roc

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,China Supply Custom Cutting Edge Factories & Manufacturers Pricelist - FengheWholesale Cheap OEM/ODM Neural Relaxation Patch Products Cheap Price - Xingzhichen;Wholesale CE High Quality Plant Based Pea Protein Powder Products Cheap Price - Huge Roc. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE,China Psu 1600w

Radiofrequency ablation

Wholesale Cheap OEM/ODM Protein Shake Diet Factory & Supplier Price - Huge Roc; 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,China Supply Custom Non-Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.China Supply Custom Brass Adapter Products Cheap Price - Mingou,China Supply Custom Waxed Steel Strapping Products Cheap Price - Bluekin Industries Limited,Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering

Foam sclerotherapy

Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Karcher K3 Pressure Washer Suppliers & Manufacturers Quotes - Mingou. Ltd.Observational studies found that success rates vary from 82% to 100%,Wholesale Cheap OEM/ODM Glass Block Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries LimitedWholesale Cheap OEM/ODM High Protein Powder Factories & Manufacturers Pricelist - 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 (Wholesale Cheap OEM/ODM Pressure Washer Inlet Filter Suppliers & Manufacturers Quotes - Mingou). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale CE High Quality Retail Shop Shelving Factory & Supplier Price - INNOVATIVE

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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.

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.Supply OEM Custom Plastic Crates Maker Factory & Supplier Price - Zhongyi Plastic Technology Co.,7681-93-8 Raw Material Pimaricin Natamycin

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Wholesale CE High Quality Nail Product 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.Supply OEM Custom Sodium Saccharin Food Grade Products Cheap Price - Huge Roc,China Supply Custom Foldaway Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom High Quality Artificial Turf Products Cheap Price - Green Link New Materials Co.Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines.Wholesale CE High Quality Pressure Washer Hose Adapter Suppliers & Manufacturers Quotes - Mingou.Supply OEM Custom Vitamin B Complex Capsules Products Cheap Price - KeMing Medicines.Supply OEM Custom Slip Door Mat Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..Wholesale CE High Quality Emulsifier Lecithin Soy Products Cheap Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Multi-Function Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale Cheap OEM/ODM Weight Barbed Wire Factory & Supplier Price - Bluekin Industries LimitedIt aims to increase the coating surface and restore valve competency by external supportWholesale Cheap OEM/ODM Protein Powder Pea Protein Factory & Supplier Price - Huge Rocand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Vital Protein Pea Protein Isolate Suppliers & Manufacturers Quotes - Huge Roc.Wholesale CE High Quality Vegetable Protein Isolate Products Cheap Price - Huge Roc

Overall, all management modalities appear to be safe and effective in the short term and midterm,gilardinoflooring.comWholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - Mingou.China Supply Custom Adjustable Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE;Wholesale Cheap OEM/ODM Pharmaceutical Modular Cleanroom Suppliers & Manufacturers Quotes - FOD Electrical Engineering. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Sun9c Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY,Ltd.However, high-Wholesale Cheap OEM/ODM Antimalarial Factory & Supplier Price - KeMing Medicines-term follow-Wholesale CE High Quality Embossed Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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