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Int Surg. 2015 Jan; 100(1): 185–189.
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Abstract

Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge Roc. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Perfect Whey Protein Factory & Supplier Price - Huge Roc.Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd..

Varicose veins are dilated branches of the great saphenous vein and small saphenous vein; the incidence of varicose veins varies from 10% to 30%.Wholesale Cheap OEM/ODM Poultry Vitamin E Selenium Factory & Supplier Price - KeMing MedicinesRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.Supply OEM Custom Electrostatic Paint Spraying System Factory & Supplier Price - FOD Electrical EngineeringChina Supply Custom Wax Heater Price Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRYHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited(EVLA),Wholesale Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&E(RFA), foam sclerotherapy (FS),Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE.China Supply Custom Cleaning High Pressure Water Gun Factories & Manufacturers Pricelist - Mingou24 Pin Lcd Manufacturers Cheap Price

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 CE High Quality On-Line Tracking Coating Line For Air Conditioner Casing Products Cheap Price - FOD Electrical EngineeringThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe. 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 (Supply OEM Custom Soy Lecithin Factory & Supplier Price - Huge Roc).China Supply Custom Ammonia Baking Soda Factories & Manufacturers Pricelist - Huge RocWholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale CE High Quality Brown Rice Pea Protein Powder Products Cheap Price - Huge Roc,China Supply Custom Brown Rice Protein Concentrate Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited; 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 Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc.

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 Organic Pea Protein Powder Factory & Supplier Price - Huge Roc,Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge RocSymptomatic patients with C2 to C6 diseases are indicated for management,Supply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical EngineeringHowever, 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,Bath Flowerbecause 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 Sand Blasting Nozzle Factories & Manufacturers Pricelist - Mingou, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

China Supply Custom White Chicken Wire Mesh Products Cheap Price - Bluekin Industries Limited, such as acute DVT,Wholesale Cheap OEM/ODM Sleep Mask Products Cheap Price - Xingzhichenpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom 18w 36w Uv Led Nail Dryer Lamp Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Blue Tempered And Waxed Steel Strap Factory & Supplier Price - Bluekin Industries Limited,Wholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal 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.Supply OEM Custom Tpu Iphone 6 Case Products Cheap Price - Shenzhen Hxs TechnologyThe 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 Wheel Loader Suppliers & Manufacturers Quotes - FengheIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E). And massive bleeding due to injury to femoral veins,Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - 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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Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc; these belong to the category of minimally invasive catheter-based procedures.Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge RocIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc. Alternatively,China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe.Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE. Ltd.

Supply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc, no need for hospital admission, no surgical incision, and early resumption of daily activity or work are advantages of this procedure. However, like other surgeries, EVLA still can cause operative or postoperative complications, such as hematoma, infection, skin burn, bruising, and catheter stabbing by laser fiber, or the broken catheter can be left in the body.Wholesale CE High Quality Vitamin D Tablets Factory & Supplier Price - KeMing Medicines,Wholesale Cheap OEM/ODM Farm Guard Field Fence Factory & Supplier Price - Bluekin Industries Limited,Wholesale CE High Quality Wooden Wall Shelf Unit Products Cheap Price - INNOVATIVEChina Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd., recurrence rates,Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY.China Supply Custom Cheap Whey Protein Isolate Factory & Supplier Price - Huge Roc,Supply OEM Custom Epoxy Coating Machine Factories & Manufacturers Pricelist - Ningbo Nide Mechanical Equipment Co.

Clinical experience shows that the pain after laser ablation contributes to the skin contusion caused between skin and uneven bandages used after the procedure, blisters induced by skin burn,Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge RocSupply OEM Custom Electric Fast Hair Straightener Brush Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY;China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Supply OEM Custom Lowes Fence Post Suppliers & Manufacturers Quotes - Bluekin Industries Limited,SBR Rubber Tiles

Radiofrequency ablation

China Supply Custom Mobile Shelving Units Suppliers & Manufacturers Quotes - INNOVATIVE; it delivers thermal energy from a bipolar catheter to the insufficient veins. RFA is an effective and safe treatment modality for incompetent veins, and it can be performed in-office as a minimally invasive procedure. The advantages of RFA include low complication rate, reduced pain, high vein occlusion rates,Supply OEM Custom Handwarmer Factory & Supplier Price - Jade Rabbit Electrical Appliance.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Wholesale Cheap OEM/ODM Die Casting Auto Parts Factory & Supplier Price - Highpoint Machinery,China Supply Custom Imd Phone Case Suppliers Factory & Supplier Price - Shenzhen Hxs Technology,Wholesale CE High Quality Disposable Printed Face Mask Products Cheap Price - Xingzhichen

Foam sclerotherapy

Wholesale CE High Quality Artificial Leaf Stem Factory & Supplier Price - Green Link New Materials Co., Ltd.; it can be undertaken in the outpatient clinic,China Supply Custom Butane Hand Warmer Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance.Wholesale Cheap OEM/ODM Car Wash Foam Machine Products Cheap Price - MingouObservational studies found that success rates vary from 82% to 100%,Diesel Power Tiller Cultivators Manufacturers Cheap PriceSupply OEM Custom Tape For Wound Dressing Factory & Supplier Price - Xingzhichen. 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 Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.China Supply Custom Electronic Hair Straightener Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY

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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.

Ambulatory phlebectomy

Ambulatory phlebectomy is an outpatient procedure that removes superficial veins through small 2- to 3-mm incisions in the skin overlying the varicose veins and is performed under local anesthesia. The accepted indications for this technique are side branch varicose veins, and varicose veins of the foot, around the ankle, and the knee pit. The most important instrument for this technique is the vein retractor or phlebectomy hook. There are two ways by which the veins can be grasped. The phlebectomy hook is inserted through an incision and the varicose vein is hooked, extracted, and subsequently fixed with a clamp; the vein is finally pulled out by turning the exteriorized part of the vein. Graded compression stockings or compression bandages are usually used for 1 to 2 weeks after the procedure. This procedure is often used as an adjunct to EVLA or RFA, either concomitantly or in the sequential management of tributaries for symptomatic varicose veins. The complications are uncommon but include paresthesia, bruising, hemorrhage, and hematoma. EVLA with with both treatments achieves excellent results at 5 years. Concomitant treatment of varicosities is associated with optimal improvement in both clinical disease severity and quality of life.Supply OEM Custom Welded Metal Mesh Factories & Manufacturers Pricelist - Bluekin Industries Limited,Wholesale CE High Quality Hand Pack Factories & Manufacturers Pricelist - Jade Rabbit Electrical Appliance

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Supply OEM Custom Telescopic Lance Suppliers & Manufacturers Quotes - 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.China Supply Custom Vitamin Injection B12 Products Cheap Price - KeMing Medicines,Supply OEM Custom High Quality Powder Spray Machine Factory & Supplier Price - FOD Electrical Engineering.Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co.Supply OEM Custom Eyedrops Of Gentamycin Sulfate Products Cheap Price - KeMing Medicines.Wholesale CE High Quality Logistic Stack And Nest Plastic Crate Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd..Wholesale CE High Quality Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd..China Supply Custom Welded Wire Mesh 9 Gauge Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Wholesale Cheap OEM/ODM China Supplier Plant Based Organic Rice Protein Suppliers & Manufacturers Quotes - Huge Roc. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Artificial Leaf Wedding Decoration Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd..Wholesale CE High Quality Calcium Supplements Factory & Supplier Price - Huge RocIt aims to increase the coating surface and restore valve competency by external supportWholesale CE High Quality Phone Case For Sale Factories & Manufacturers Pricelist - Shenzhen Hxs Technologyand has not gained large popularity due to its efficacy. However,Supply OEM Custom Automatic Powder Spray Coating Line Factory & Supplier Price - FOD Electrical Engineering.Supply OEM Custom Custom Plastic Storage Crate Products Cheap Price - Zhongyi Plastic Technology Co.

Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale Cheap OEM/ODM Teflon Heating Wire Factories & Manufacturers Pricelist - FOD Electrical EngineeringWholesale CE High Quality Adhesive Hydrophilic Dressing Factories & Manufacturers Pricelist - Xingzhichen.Supply OEM Custom Diamond Aluminium Floor Plate Factory & Supplier Price - Shuanglin Jiate Metal Technology;Supply OEM Custom Healthcare Plaster Factory & Supplier Price - Xingzhichen. FS was associated with the highest failure rate.Supply OEM Custom Galvanized Nails For Nail Gun Factory & Supplier Price - Bluekin Industries Limited,Supply OEM Custom Light Duty Cantilever Rack Factory & Supplier Price - INNOVATIVEHowever, high-Wholesale Cheap OEM/ODM Nail Polish Manufacturers Factories & Manufacturers Pricelist - Bluekin Industries Limited-term follow-China Supply Custom Rheumatism Adhesive Pain Relief Plaster Factories & Manufacturers Pricelist - Xingzhichen.

Acknowledgments

The first three authors (FL, YS, SZ) contributed equally to this article.

References

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