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).^{China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials Co.}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.China Supply Custom New Energy Stator Winding Machine Suppliers & Manufacturers Quotes - 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 (Wholesale Cheap OEM/ODM Antidiarrheal Agent & Supplementary Electrolyte Suppliers & Manufacturers Quotes - KeMing Medicines).^{China Supply Custom Custom Wood Shelving Factory & Supplier Price - INNOVATIVE}Wholesale CE High Quality Hot Sale Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc.^{Supply OEM Custom Nail Led Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Supply OEM Custom Moving Security Garment Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}Wholesale Cheap OEM/ODM Truck Mounted Crane Factories & Manufacturers Pricelist - Fenghe; 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 Effervescent Tablets Vd Factories & Manufacturers Pricelist - KeMing Medicines.

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.^{Wholesale Cheap OEM/ODM Pressure Washer Hose Factories & Manufacturers Pricelist - Mingou,China Supply Custom Plastick Storge Plastic Crate Products Cheap Price - Zhongyi Plastic Technology Co.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Vitamin K1 Injectable Factory & Supplier Price - KeMing Medicines, 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,^{China Supply Custom Plain Aluminum Sheet Products Cheap Price - Shuanglin Jiate Metal Technology}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 Lean And Healthy Pea Protein Products Cheap Price - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Craft Products Cheap Price - Unionrise I&E, such as acute DVT,^{Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Intermediate Forming Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.,Wholesale CE High Quality Folding Go Cart Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.,Ltd.,Wholesale Cheap OEM/ODM Customized Assembly Line Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment 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.^{China Supply Custom Fiberglass Aqua Slide For Pool Products Cheap Price - Shanghai Mutong Toys}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 Non Toxic Bright Soft Pastel Factory & Supplier Price - Unionrise I&E}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Muscle Whey Protein Factory & Supplier Price - Huge Roc). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM 1 Inch Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Microliter Syringe

Foam sclerotherapy

Wholesale CE High Quality Sodium Saccharin Powder Suppliers & Manufacturers Quotes - Huge Roc; it can be undertaken in the outpatient clinic,China Supply Custom Construction Steel Strap Products Cheap Price - Bluekin Industries Limited.^{Wholesale Cheap OEM/ODM Ptfe Teflon Cable Products Cheap Price - FOD Electrical Engineering}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Die Casting Blower Flanges Factories & Manufacturers Pricelist - Highpoint Machinery}Wholesale CE High Quality Bulk Bicarbonate Of Soda Factory & Supplier Price - 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 Protein Shake Diet Factory & Supplier Price - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Plastic Crates China Price Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.}

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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 Herbal Plaster Products Cheap Price - Xingzhichen. 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 3m Rubber Floor Mat Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.,Wholesale Cheap OEM/ODM There/Four/Five Axis Coating Line Suppliers & Manufacturers Quotes - FOD Electrical Engineering.^{Wholesale Cheap OEM/ODM Crossover Rolling Type Factories & Manufacturers Pricelist - Fenghe}Wholesale Cheap OEM/ODM Hydroxyde Aluminium +Hydroxyde Magnesium Tabs Products Cheap Price - KeMing Medicines.Wholesale Cheap OEM/ODM Electric Hot Water Bottle Argos Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance.China Supply Custom Large Plastic Moving Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Barbed Wire Length Per Roll Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Vitamin C Brands Factories & Manufacturers Pricelist - KeMing Medicines. External valvuloplasty, such as external vein valve wrapping,Wholesale CE High Quality Hinged Lid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Vitamin B Complex Factory & Supplier Price - KeMing Medicines}and has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines.^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Single Depilatory Wax Warmer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}China Supply Custom Painting & Colouring Sets Suppliers & Manufacturers Quotes - Unionrise I&E.Wholesale Cheap OEM/ODM Car Care Cleaning Products Cheap Price - Mingou;Wholesale CE High Quality Lightweight Steel Strap Products Cheap Price - Bluekin Industries Limited. FS was associated with the highest failure rate.^{Supply OEM Custom Painting Palette Factories & Manufacturers Pricelist - Unionrise I&E,Supply OEM Custom Plastic Crate For Fish Factory & Supplier Price - Zhongyi Plastic Technology Co.}However, high-Supply OEM Custom Electric Ir Heater Suppliers & Manufacturers Quotes - FOD Electrical Engineering-term follow-Wholesale Cheap OEM/ODM Tennis Court Synthetic Turf Products Cheap Price - Green Link New Materials Co., Ltd..

Acknowledgments

References