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Abstract

Wholesale CE High Quality Inconel Welding Rod Factory & Supplier Price - Bluekin Industries Limited. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Blue Color Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Professional Factory Mode Plastic Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Lamination Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..China Supply Custom Pvc Hose Factory & Supplier Price - Mingou.

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Ltd.Risk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Wholesale Cheap OEM/ODM 1x1 Galvanized Welded Wire Mesh Products Cheap Price - Bluekin Industries Limited– Ltd.High 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 First Aid Wound Dressing Suppliers & Manufacturers Quotes - Xingzhichen(EVLA),Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery.Wholesale Cheap OEM/ODM Cleanroom Eps Sandwich Panel For Roof From Mill Products Cheap Price - FOD Electrical Engineering–Fruits Vending Cart For Sale

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 3/8 Inch Mesh Hardware Cloth Products Cheap Price - Bluekin Industries LimitedThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - 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 (Wholesale CE High Quality Animal Drug Ivermectin Injection Suppliers & Manufacturers Quotes - KeMing Medicines).Wholesale CE High Quality Price Of Isolated Soy Protein Factories & Manufacturers Pricelist - Huge RocWholesale Cheap OEM/ODM Car Machine Wash Suppliers & Manufacturers Quotes - Mingou. Ltd.,China Supply Custom China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries LimitedWholesale CE High Quality Ratary Brush Factories & Manufacturers Pricelist - 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,Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines.

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 Plain Wooden Shelves Products Cheap Price - INNOVATIVE,Supply OEM Custom Cheap Hand Warmers Products Cheap Price - Jade Rabbit Electrical ApplianceSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Pea Protein Suppliers & Manufacturers Quotes - Huge Roc, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.Supply OEM Custom Building Nails Factory & Supplier Price - Bluekin Industries LimitedHowever, 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 Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicinesbecause the dilated varicose veins usually disappeared without further surgical treatment. It is not indicated to perform thrombectomy for superficial thrombosis in great saphenous veins.China Supply Custom 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Back Pain Plaster Suppliers & Manufacturers Quotes - Xingzhichen, such as acute DVT,Wholesale Cheap OEM/ODM Copper Foam Gun Nozzle Factories & Manufacturers Pricelist - Mingoupregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom V Protein Powder Suppliers & Manufacturers Quotes - Huge Roc,Supply OEM Custom Pea Protein Isolate Powder Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Professional Nail Dryer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY—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. Ltd.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 Cheap OEM/ODM Powder Spray Cabinet Products Cheap Price - FOD Electrical EngineeringIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Buy Soy Protein Factories & Manufacturers Pricelist - Huge Roc). And massive bleeding due to injury to femoral veins,China Supply Custom Rice Whey Protein Factories & Manufacturers Pricelist - 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 Craft Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Nature Looking Artificial Turf Factory & Supplier Price - Green Link New Materials Co.In this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Top Level Vital Wheat Gluten Factory & Supplier Price - Huge Roc. Alternatively,China Supply Custom Plastic Crates Maker Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..China Supply Custom Sodium Bicarbonate Baking Soda Products Cheap Price - Huge Roc.Wholesale Cheap OEM/ODM Calcium Propionate Price For Food Beverage Factory & Supplier Price - Huge Roc

Wholesale CE High Quality 2x2 Galvanized Welded Wire Mesh Factory & Supplier Price - Bluekin Industries Limited, 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 Nylon Gun Adapter Factories & Manufacturers Pricelist - Mingou,Wholesale CE High Quality Industrial Extension Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,Led Warehouse Lighting AmazonWholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen, recurrence rates,Supply OEM Custom 5-Bar Aluminum Floor Plates Factory & Supplier Price - Shuanglin Jiate Metal Technology.Wholesale CE High Quality The Best Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Shielded Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited

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,Wholesale CE High Quality Plastic Storage Boxes For Storage Clothes Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.Supply OEM Custom Pea And Rice Protein Factories & Manufacturers Pricelist - Huge Roc;China Supply Custom Electric Motor Housing Suppliers & Manufacturers Quotes - 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.China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited,www.qhmixdrymortarplant.com

Radiofrequency ablation

China Supply Custom White Rice Protein Products Cheap 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,Wholesale Cheap OEM/ODM Automatic Car Cleaning Machines Suppliers & Manufacturers Quotes - Mingou.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Pea Protein For Aquatics Factories & Manufacturers Pricelist - Huge Roc,Supply OEM Custom Soy Lecithin Powder Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co.

Foam sclerotherapy

China Supply Custom Vital Wheat Gluten 25kg Wheat Flour Factories & Manufacturers Pricelist - Huge Roc; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines.Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries LimitedObservational studies found that success rates vary from 82% to 100%,Chilley PowderSupply OEM Custom Medical Face Mask Factory & Supplier 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 (Supply OEM Custom 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Mi Thermocouple Cable Factories & Manufacturers Pricelist - FOD Electrical Engineering

An external file that holds a picture, illustration, etc. Object name is i0020-8868-100-1-185-f01.jpg

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.Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen,Supply OEM Custom Low Price Gi Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited

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Wholesale CE High Quality Wire Shelving Parts Factory & Supplier 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 Anorectal Dressing Products Cheap Price - Xingzhichen,China Supply Custom Plastic Crates Manufacturer China Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Supply OEM Custom Led Nail Light Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRYChina Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE.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.Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc.Supply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY.Supply OEM Custom Custom Facial Mask Products Cheap Price - XingzhichenIt aims to increase the coating surface and restore valve competency by external supportSupply OEM Custom Food Preservative Calcium Propionate Suppliers & Manufacturers Quotes - Huge Rocand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Orp Online Control Online Orp SensorWholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen.Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.;Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Bicarb Soda Uses Factory & Supplier Price - Huge RocHowever, high-China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE-term follow-Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc.

Acknowledgments

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

References

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