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 Aluminium Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Three Phase Motor Production Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co., Ltd.. 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 Phone Shell Factories & Manufacturers Pricelist - Shenzhen Hxs Technology).^{Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY}Wholesale Cheap OEM/ODM Phone Case Company Factories & Manufacturers Pricelist - Shenzhen Hxs Technology.^{Wholesale Cheap OEM/ODM Green Pea Protein Powder Products Cheap Price - Huge Roc,Ltd.}Wholesale Cheap OEM/ODM Cfm Whey Protein Factory & Supplier Price - Huge Roc; 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 Pea Protein Reviews Products Cheap Price - Huge Roc.

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.^{China Supply Custom Electric Hot Gel Bag Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,Supply OEM Custom Good Whey Protein Factories & Manufacturers Pricelist - Huge Roc}Symptomatic patients with C2 to C6 diseases are indicated for management,China Supply Custom Motor Manufacturing Consulting Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc}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,^{Supply OEM Custom medical supplies disposable Suppliers & Manufacturers Quotes - Xingzhichen}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 Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited, such as acute DVT,^{Supply OEM Custom Aluminum Profile Products Cheap Price - Shuanglin Jiate Metal Technology}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering,China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe,Wholesale CE High Quality Plastic Kids Outdoor Playground Slide Factory & Supplier Price - Shanghai Mutong Toys—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 Steel Strapping Clip Factory & Supplier 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 Children Plastic Slide For Outdoor Amusement Park Factory & Supplier Price - Shanghai Mutong Toys}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Vital Pea Protein Powder Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Diabetic Foot Dressing Suppliers & Manufacturers Quotes - 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

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Foam sclerotherapy

Wholesale Cheap OEM/ODM Tpu Iphone 7 Case Products Cheap Price - Shenzhen Hxs Technology; it can be undertaken in the outpatient clinic,China Supply Custom Ammonium Hydrogen Carbonate Msds Suppliers & Manufacturers Quotes - Huge Roc.^{Supply OEM Custom Warehouse Racking Costs Suppliers & Manufacturers Quotes - INNOVATIVE}Observational studies found that success rates vary from 82% to 100%,^{a-topmachine.com}Wholesale CE High Quality Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E. 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.^{China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering}

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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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Supply OEM Custom Best Handheld Steam Iron Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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.China Supply Custom Factory & Supplier Price - INNOVATIVE,Supply OEM Custom Online Shopping Sodium Saccharin 8-16 Mesh Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited}Wholesale CE High Quality 0 Manufacturer - Isolated Soy Protein Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Artist Sketching Metallic Color Pencil Factory & Supplier Price - Unionrise I&E.Wholesale Cheap OEM/ODM Whitening Gel Mask Factory & Supplier Price - Xingzhichen.China Supply Custom Etfe Insulated Wire Factories & Manufacturers Pricelist - FOD Electrical Engineering.China Supply Custom Plastic Crate Storage Crates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Calcium Chloride Factory & Supplier Price - KeMing Medicines.^{China Supply Custom Food Addtivies Calcium Propionate Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{China Supply Custom Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Aluminum Die Casting Machinery Parts Factory & Supplier Price - Highpoint Machinery.^{China Supply Custom Gun-Fix Painting Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{50 Foot Hdmi Cable Factory OEM/ODM Products}Wholesale CE High Quality Welded Gabion Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited.Wholesale CE High Quality Ammonium Bicarbonate Used For Biscuits Products Cheap Price - Huge Roc;Wholesale Cheap OEM/ODM New Design Hair Curler Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Cabinet Paint Drying Oven Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Hollow Glass Block Suppliers & Manufacturers Quotes - Bluekin Industries Limited}However, high-Supply OEM Custom Organic Brown Rice Protein Powder Suppliers & Manufacturers Quotes - Huge Roc-term follow-China Supply Custom Rice Protein Isolated Suppliers & Manufacturers Quotes - Huge Roc.

Acknowledgments

References