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).^{Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Bicarbonate Sodium/Sodium Bicarbonate Food Grade 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 (Wholesale CE High Quality Medical Pain Relief Patch Factories & Manufacturers Pricelist - Xingzhichen).^{Wholesale CE High Quality Steel Racks For Warehouse Factories & Manufacturers Pricelist - INNOVATIVE}Supply OEM Custom Commutator Fusing Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..^{Wholesale Cheap OEM/ODM Wooden Bathroom Shelves Suppliers & Manufacturers Quotes - INNOVATIVE,China Supply Custom Landscape Synthetic Artificial Grass Factories & Manufacturers Pricelist - Green Link New Materials Co.}Supply OEM Custom Organic Brown Rice Protein Products Cheap 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 Cheap OEM/ODM Artificial Synthetic Turf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd..

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. ^{Ltd.,Wholesale Cheap OEM/ODM Best Hand Warmer Factory & Supplier Price - Jade Rabbit Electrical Appliance}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom White Wooden Shelf Brackets Factory & Supplier Price - INNOVATIVE, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - 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,^{Ac Vfd Variable Frequency Drive}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.Supply OEM Custom Aluminum Blower Parts Factory & Supplier Price - Highpoint Machinery, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom Wax Warmer Kit Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY, such as acute DVT,^{Wholesale CE High Quality Lcd Nail Dryer Lamp Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Mini Football Field Artificial Turf Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM Spraying Paint Reciprocating Equipment Products Cheap Price - FOD Electrical Engineering,Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Suppliers & Manufacturers Quotes - INNOVATIVE—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 CE High Quality Sodium Bicarbonate Feed Grade Factory & Supplier Price - Huge Roc}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 Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Patch Mask Suppliers & Manufacturers Quotes - Xingzhichen). And massive bleeding due to injury to femoral veins,China Supply Custom Plastic Crates Hinged Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., 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

China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom 50ml 100ml Vitamin B Complex Injection Factory & Supplier Price - KeMing Medicines.^{Wholesale Cheap OEM/ODM Examples Of High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{m.jiaguanadulttoys.com}Wholesale Cheap OEM/ODM Storage Crate With Cover Suppliers & Manufacturers Quotes - 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 (China Supply Custom Q235 High Tensile Blue Steel Strapping Products Cheap Price - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Rheumatism Stickers Suppliers & Manufacturers Quotes - Xingzhichen}

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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 Plastic Floor Camping Mats Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.. 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 sheet face mask oem Suppliers & Manufacturers Quotes - Xingzhichen,Wholesale CE High Quality Plastic Dolly For Sale Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.. ^Ltd.Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Spray Paint Ventilation System Factories & Manufacturers Pricelist - FOD Electrical Engineering.China Supply Custom Armature Winder Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd..Supply OEM Custom Overhead Rack Factory & Supplier Price - INNOVATIVE.Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Artemether+Lumefantrine Tabs Suppliers & Manufacturers Quotes - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Biological Dressing Products Cheap Price - Xingzhichen}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Barbed Wire Bracelet Products Cheap Price - Bluekin Industries Limited}Supply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe. FS was associated with the highest failure rate.^{Supply OEM Custom Kitchen Wire Shelving Factory & Supplier Price - INNOVATIVE,China Supply Custom What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc}However, high-Supply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.-term follow-Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE.

Acknowledgments

References