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). ^Ltd.The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines. 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 Cheap OEM/ODM Whey Protein 80 Suppliers & Manufacturers Quotes - Huge Roc).^{Wholesale Cheap OEM/ODM Black Iron Wire Factory & Supplier Price - Bluekin Industries Limited}China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E.^{China Supply Custom hydrocolloid dressing Factories & Manufacturers Pricelist - Xingzhichen,Aluminum Alloy Connecting Rod}Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - 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,Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited.

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 Container House Prefab Houses Products Cheap Price - FOD Electrical Engineering,Wholesale CE High Quality dressing adhesive polyurethane Factories & Manufacturers Pricelist - Xingzhichen}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^Ltd.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,^{Wholesale CE High Quality Triple Lecithin Factories & Manufacturers Pricelist - Huge Roc}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 Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Fiber Rich Cereals Factory & Supplier Price - Huge Roc, such as acute DVT,^{Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - Xingzhichen}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Folding Plastic Crate With Lid Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd.,China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Supply OEM Custom Crates And Skates Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.—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 Mobile Shelving Products Cheap Price - INNOVATIVE}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 CE High Quality Antifungal Agents Products Cheap Price - KeMing Medicines}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Phone Case Website Products Cheap Price - Shenzhen Hxs Technology). And massive bleeding due to injury to femoral veins,Supply OEM Custom Face Paint Factories & Manufacturers Pricelist - Unionrise I&E, 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 CE High Quality Grader Factory & Supplier Price - Fenghe; it can be undertaken in the outpatient clinic,Supply OEM Custom G1/4 F Snow Foam Lance Factories & Manufacturers Pricelist - Mingou.^{Supply OEM Custom China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.}Observational studies found that success rates vary from 82% to 100%,^{10 Bbl Brewery Factory OEM/ODM Products}China Supply Custom Factory Wholesale Nail File Drills Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. 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 Warehouse Racking Installation Factory & Supplier Price - INNOVATIVE). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale CE High Quality Metal Mesh For Cages Factory & Supplier Price - Bluekin Industries Limited}

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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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China Supply Custom Brass Adapter Products Cheap Price - Mingou. 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 Metal Parts Products Cheap Price - Fenghe,Wholesale CE High Quality Raw Material Wire Nails Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Antimalarial Suppliers & Manufacturers Quotes - KeMing Medicines}Supply OEM Custom Bus Spray Paint Cabinet Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Pm 2.5 Face Mask Factories & Manufacturers Pricelist - Xingzhichen.Wholesale Cheap OEM/ODM Crate For Turnover Container Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality sterile Factory & Supplier Price - Xingzhichen.China Supply Custom Hair Straightening Brush Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Whey Protein Powder For Diabetics Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen}and has not gained large popularity due to its efficacy. However,China Supply Custom Butterfly Suncatcher Suppliers & Manufacturers Quotes - Unionrise I&E.^{Supply OEM Custom Animal Drug Factories & Manufacturers Pricelist - KeMing Medicines}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Wholesale Cheap OEM/ODM Nail Wire Factory & Supplier Price - Bluekin Industries Limited}Supply OEM Custom Metro Wire Shelving Products Cheap Price - INNOVATIVE.China Supply Custom Hangzhou Jinding Aluminium Industry Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology;Wholesale Cheap OEM/ODM Plaster For Arthritis Pain Relief Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.^{China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co.,Wholesale CE High Quality Industrial Aluminum Foil Factory & Supplier Price - Shuanglin Jiate Metal Technology}However, high-Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE-term follow-Wholesale CE High Quality Automotive Spray Booth Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

References