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 What Is Pea Protein Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal Technology. 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 Glass Block With Hole Factories & Manufacturers Pricelist - Bluekin Industries Limited). ^Ltd.Supply OEM Custom High Fiber Grains Factory & Supplier Price - Huge Roc. ^{Ltd.,Canopy Fixture}Supply OEM Custom Radiant Heater Factory & Supplier Price - FOD Electrical Engineering; 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 Salon Disinfections Machine Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.

Table 1

CEAP classification: C (clinical component)

Supply OEM Custom Reduction Box Suppliers & Manufacturers Quotes - Fenghe

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 8 Cp95 /Nf13 - Sodium Cyclamate Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Copper Conductor Awg Silicone Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering}Symptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Sun Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality Plastic Palette Knife Factories & Manufacturers Pricelist - Unionrise I&E}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,^{Jeans Laser Cutting Machine}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.China Supply Custom Cheap Small Plastic Containers Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale Cheap OEM/ODM Warehouse Pallet Racking Systems Factory & Supplier Price - INNOVATIVE, such as acute DVT,^{Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale CE High Quality Artificial Roses Leaf Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.,Wholesale CE High Quality Kids Hot Water Bottle Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance,China Supply Custom Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology—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 Vitamin B3 Face Serum Factories & Manufacturers Pricelist - KeMing Medicines}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 High Fiber Diet Foods Factory & Supplier Price - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Winter Face Mask Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,Supply OEM Custom Artesunate Factories & Manufacturers Pricelist - KeMing Medicines, and mortality from pulmonary embolism and DVT can happen, even though these are rarely reported.

Table 2

Complications after different modalities for varicose veins

Wholesale CE High Quality Muscle Whey Protein Products Cheap Price - Huge Roc

Foam sclerotherapy

Wholesale CE High Quality Medical Cold Compresses Factory & Supplier Price - Xingzhichen; it can be undertaken in the outpatient clinic,Supply OEM Custom Painless Dressing Products Cheap Price - Xingzhichen.^{Wholesale Cheap OEM/ODM Soybean Dietary Fibre Factory Factories & Manufacturers Pricelist - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{100w Linear Led High Bay High Quality Supplier}Supply OEM Custom Mobile Shelves Factory & Supplier Price - INNOVATIVE. 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 Soy Lecithin For Nutritional Supplements Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Wholesale Cheap OEM/ODM Packaging Steel Strapping Factory & Supplier Price - Bluekin Industries Limited}

Wholesale CE High Quality Veterinary Digestive System Drug Factories & Manufacturers Pricelist - KeMing Medicines

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.

Wholesale CE High Quality Breast Sticker Cup Injection Molding Machine Factories & Manufacturers Pricelist - FOD Electrical Engineering

Wholesale CE High Quality Powder Coating Spray Booth Products Cheap Price - FOD Electrical Engineering. 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 Bulk Pea Protein Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Electric Steamer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.^{China Supply Custom Brown Rice Protein Powder Reviews Factory & Supplier Price - Huge Roc}Wholesale Cheap OEM/ODM Motor Manufacturing Turn-Key Service Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd..Wholesale CE High Quality Calcium Propionate Made In China Products Cheap Price - Huge Roc.China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Calcium Propionate In Bread Products Cheap Price - Huge Roc.China Supply Custom Battery Operated Nail Dryer Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY. External valvuloplasty, such as external vein valve wrapping,Supply OEM Custom Popular Firm Folding Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Vitamin Drugs Factories & Manufacturers Pricelist - KeMing Medicines}It aims to increase the coating surface and restore valve competency by external support^{Wholesale CE High Quality Filter Face Mask Products Cheap Price - Xingzhichen}and has not gained large popularity due to its efficacy. However,Supply OEM Custom Plastic Container Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{China Supply Custom Foldable Picnic Basket Products Cheap Price - Zhongyi Plastic Technology Co.}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Business Desk Lamp Factory OEM/ODM Product}Wholesale CE High Quality Steel Wire Rope Manufacturer Products Cheap Price - Bluekin Industries Limited.Wholesale Cheap OEM/ODM Non Gmo Pea Protein Powder Factory & Supplier Price - Huge Roc;Wholesale Cheap OEM/ODM Alginate Medical Wound Dressing Products Cheap Price - Xingzhichen. FS was associated with the highest failure rate.^{China Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc,Wholesale Cheap OEM/ODM Garage Shelving Systems Factory & Supplier Price - INNOVATIVE}However, high-Wholesale Cheap OEM/ODM Storage Crate With Cover Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd.-term follow-Wholesale Cheap OEM/ODM Ammonium Bicarbonate Food Grade 99.2%Min Products Cheap Price - Huge Roc.

Acknowledgments

References