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).^{Wholesale CE High Quality Vital Wheat Gluten Food Grade Suppliers & Manufacturers Quotes - Huge Roc}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Supply OEM Custom Welded Wire Mesh Sizes Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Chocolate Brown Rice Protein Powder Factory & Supplier Price - Huge Roc).^Ltd.Wholesale Cheap OEM/ODM Shaft Inserting Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd..^{Supply OEM Custom Sprouted Rice Protein Powder Factory & Supplier Price - Huge Roc,Wholesale CE High Quality Cold Room Shelves Products Cheap Price - INNOVATIVE}Supply OEM Custom Unflavored Brown Rice Protein Powder Factories & Manufacturers Pricelist - 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 CE High Quality Electric Heat Bag Products Cheap Price - Jade Rabbit Electrical Appliance.

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 Nutritional Supplement Products Cheap Price - KeMing Medicines, Ltd.}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Inside Spraying Painting Machine Forglass Bottles Suppliers & Manufacturers Quotes - FOD Electrical Engineering, superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Wholesale CE High Quality 9s Sun Uv Led Nail Lamp Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY}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,^{Slushy Beer}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 CE High Quality Muscle Protein Powder Suppliers & Manufacturers Quotes - Huge Roc, and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Supply OEM Custom Custom Facial Mask Products Cheap Price - Xingzhichen, such as acute DVT,^{China Supply Custom Artificial Oak Trees Factories & Manufacturers Pricelist - Green Link New Materials Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Eagle Wire Shelving Factories & Manufacturers Pricelist - INNOVATIVE,Wholesale CE High Quality Rubber Floor Mats Products Cheap Price - Green Link New Materials Co., Ltd.,China Supply Custom Wooden Wall 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.^Ltd.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 Fiber Intake Factories & Manufacturers Pricelist - Huge Roc}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale Cheap OEM/ODM Grass Carpet For Garden Products Cheap Price - Green Link New Materials Co.). And massive bleeding due to injury to femoral veins,Wholesale Cheap OEM/ODM Materials Used In Making Nails Factories & Manufacturers Pricelist - 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

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Foam sclerotherapy

Wholesale Cheap OEM/ODM Oem Hair Straightener Comb Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY; it can be undertaken in the outpatient clinic,Wholesale Cheap OEM/ODM Fiber Intake Factories & Manufacturers Pricelist - Huge Roc.^{Wholesale Cheap OEM/ODM Organic Pea Protein Powder Factory & Supplier Price - Huge Roc}Observational studies found that success rates vary from 82% to 100%,^{Triplex Preheater For Cardboard Paper Making}Wholesale Cheap OEM/ODM Calcium Propionate Vegan Suppliers & Manufacturers Quotes - 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 (Supply OEM Custom Price Of Isolated Soy Protein Suppliers & Manufacturers Quotes - Huge Roc). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{China Supply Custom Automated Conveyor System Products Cheap Price - FOD Electrical Engineering}

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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 Military Barbed Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited. 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 Sodium Cyclohexylsulfamate Suppliers & Manufacturers Quotes - Huge Roc,Wholesale CE High Quality Plastic Wire Factory & Supplier Price - Bluekin Industries Limited.^{China Supply Custom Wheel Loader Suppliers & Manufacturers Quotes - Fenghe}Wholesale Cheap OEM/ODM Rivet Nut Suppliers & Manufacturers Quotes - Fenghe.Wholesale Cheap OEM/ODM Nutritional Supplement Products Cheap Price - KeMing Medicines.China Supply Custom Motto Barbed Wire Price Suppliers & Manufacturers Quotes - Bluekin Industries Limited.Supply OEM Custom Capsicum Plaster Factory & Supplier Price - Xingzhichen.Wholesale CE High Quality Medical Sterilization Paster Factory & Supplier Price - Xingzhichen. External valvuloplasty, such as external vein valve wrapping,Wholesale Cheap OEM/ODM Wooden Kitchen Shelves Products Cheap Price - INNOVATIVE.^{Wholesale CE High Quality Educational Games Products Cheap Price - Unionrise I&E}It aims to increase the coating surface and restore valve competency by external support^{Wholesale Cheap OEM/ODM Organic Sprouted Brown Rice Products Cheap Price - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom Wound Dressing With Silver Factory & Supplier Price - Xingzhichen. ^Ltd.

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Sensor Led Floodlight}Wholesale CE High Quality Fep Insulated Fluoroplastics Wire Ul1332 Factory & Supplier Price - FOD Electrical Engineering.Wholesale Cheap OEM/ODM Where To Find Sodium Bicarbonate Factories & Manufacturers Pricelist - Huge Roc;Wholesale Cheap OEM/ODM Large Plastic Crate Box Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. FS was associated with the highest failure rate.^{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}However, high-China Supply Custom Best Tasting Rice Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-China Supply Custom 86barbed Wire Weight Per Meter Suppliers & Manufacturers Quotes - Bluekin Industries Limited.

Acknowledgments

References