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Abstract

Supply OEM Custom Injection Machine Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd.. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Wholesale CE High Quality Pea Protein Food Grade Factory & Supplier Price - Huge Roc.Supply OEM Custom Kid Drawing Board Products Cheap Price - Unionrise I&E.Supply OEM Custom Mini Electronic Nail Dryer Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY.Wholesale CE High Quality Artificial Boxwood Topiary Trees Factory & Supplier Price - Green Link New Materials 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%.China Supply Custom Mobile Phone Case Exporters Suppliers & Manufacturers Quotes - Shenzhen Hxs TechnologyRisk factors of varicose veins include family history, age, and pregnancy; a possible risk factor is standing for a long period of time.China Supply Custom Imd Phone Case Factory Factories & Manufacturers Pricelist - Shenzhen Hxs TechnologyWholesale CE High Quality Kx Thermocouple Wire Factory & Supplier Price - FOD Electrical EngineeringHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe(EVLA),Supply OEM Custom Synthetic Turf Artifical Grass Suppliers & Manufacturers Quotes - Green Link New Materials Co., Ltd.(RFA), foam sclerotherapy (FS),Wholesale Cheap OEM/ODM Heavy Duty Warehouse Racks Products Cheap Price - INNOVATIVE.Wholesale Cheap OEM/ODM Natural Soya Bean Lecithin Suppliers & Manufacturers Quotes - Huge RocSupply OEM Custom Mini Spray Booth Suppliers & Manufacturers Quotes - FOD Electrical Engineering

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 Adapter Products Cheap Price - MingouThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Decorative Artificial Grass Factory & Supplier Price - Green Link New Materials 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 (Supply OEM Custom Aspartame Sodium Saccharin In Cold Drink Products Cheap Price - Huge Roc).Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge RocSupply OEM Custom Mini Spray Booth Products Cheap Price - FOD Electrical Engineering.China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen,Education Touch BoardWholesale CE High Quality Electric Powder Coating Oven Factories & Manufacturers Pricelist - 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,Supply OEM Custom Plastic Tote Dolly Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..

Indication and Contraindication of Treatment for Varicose Veins

The purpose of treatment is to relieve symptoms and prevent the progression of varicose veins.Wholesale CE High Quality Professional Paraffin Wax Warmer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Custom Plastic Storage Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Caesarean Section Dressing Factory & Supplier Price - Xingzhichen, 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 Steel Wire For Nail Making Factory & Supplier Price - Bluekin Industries Limitedbecause 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 Stacking Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.

Wholesale CE High Quality 8 Cp95 /Nf13 - Sodium Cyclamate Factories & Manufacturers Pricelist - Huge Roc, such as acute DVT,Wholesale Cheap OEM/ODM Ammonium Bicarbonate Baking Factory & Supplier Price - Huge Rocpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Supply OEM Custom Mineral Wool Panel Factories & Manufacturers Pricelist - FOD Electrical Engineering,China Supply Custom Mirror Polished Aluminum Coil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,Wholesale Cheap OEM/ODM Soft Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited—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 Plain Protein Powder Products Cheap Price - Huge RocThe 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.Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs TechnologyIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Supply OEM Custom Light Plastic Crate Suppliers & Manufacturers Quotes - Zhongyi Plastic Technology Co.). And massive bleeding due to injury to femoral veins,China Supply Custom Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd., 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 Good Quality Powder Coating Line Products Cheap Price - FOD Electrical Engineering; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Watercolor Painting Set Factory & Supplier Price - Unionrise I&EIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM Tasteless Protein Powder Products Cheap Price - Huge Roc. Alternatively,China Supply Custom Buy Ammonium Carbonate Suppliers & Manufacturers Quotes - Huge Roc.China Supply Custom Perfect Whey Protein Factory & Supplier Price - Huge Roc.China Supply Custom Spray Coating Equipment Factory & Supplier Price - FOD Electrical Engineering

Supply OEM Custom 20awg Nickel Plated Copper Silicone Rubber Coated Wire Ul3141 Products Cheap Price - FOD Electrical Engineering, 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 Red Rice Protein Factory & Supplier Price - Huge Roc,China Supply Custom Compensating Cable/Wire Factory & Supplier Price - FOD Electrical Engineering,China Uns Hydraulic Piston Rod SealsWholesale Cheap OEM/ODM New Design Foldable Plastic Products Cheap Price - Zhongyi Plastic Technology Co.,Ltd., recurrence rates,Supply OEM Custom Motto Barbed Wire Factory & Supplier Price - Bluekin Industries Limited.Supply OEM Custom Poultry Drugs Factory & Supplier Price - KeMing Medicines,Supply OEM Custom Daily Dietary Fiber Suppliers & Manufacturers Quotes - Huge Roc

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 Cheap OEM/ODM Games Manufacturer Products Cheap Price - Unionrise I&ELtd.;Supply OEM Custom Storage Mezzanines Factory & Supplier Price - INNOVATIVE. Using proper compression stocking rather than bandage may reduce the risk of skin contusion. In addition, early ambulation is always critical to preventing DVT.Wholesale Cheap OEM/ODM Plastic Crate Storage Crate With Cover Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,15mm Film Faced Plywood Wholesaler Quotes & PriceList

Radiofrequency ablation

Supply OEM Custom Excavator Rock Bucket Factory & Supplier Price - Fenghe; 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,Wholesale Cheap OEM/ODM Custom Wood Shelving Factories & Manufacturers Pricelist - INNOVATIVE.

Currently available clinical trial evidence suggests RFA and EVLA are at least as effective as surgery in the treatment of great saphenous varicose veins.Supply OEM Custom Nail Polish Factory Factories & Manufacturers Pricelist - Bluekin Industries Limited,Supply OEM Custom Vitamin C Brands Products Cheap Price - KeMing Medicines,Supply OEM Custom Grocery Shelves Factory & Supplier Price - INNOVATIVE

Foam sclerotherapy

Wholesale Cheap OEM/ODM Razor Wire For Sale Suppliers & Manufacturers Quotes - Bluekin Industries Limited; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Brown Rice Protein Benefits Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Plastic Palette Factory & Supplier Price - Unionrise I&EObservational studies found that success rates vary from 82% to 100%,Female Adaptor Cpvc FittingSupply OEM Custom Diy Roller Foam Paint Brush Factory & Supplier Price - Unionrise I&E. 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 Weight Of Iron Nails Suppliers & Manufacturers Quotes - Bluekin Industries Limited). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.Wholesale Cheap OEM/ODM Diamond Nail Dryer Factory & Supplier Price - 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.Wholesale Cheap OEM/ODM Injection Machine Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Supply OEM Custom Good Fiber Products Cheap Price - Huge Roc

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China Supply Custom White Chicken Wire Mesh Products Cheap Price - 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.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 Now Organic Pea Protein Products Cheap Price - Huge RocWholesale Cheap OEM/ODM Coating Aluminum Foil Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology.Supply OEM Custom Disposable Antibacterial Face Mask Products Cheap Price - Xingzhichen.China Supply Custom Non Gmo Soy Lecithin Factories & Manufacturers Pricelist - Huge Roc.Supply OEM Custom Brown Rice Based Protein Powder Products Cheap Price - Huge Roc.Wholesale CE High Quality Plain Protein Powder Factory & Supplier Price - Huge Roc. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Alloy Steel Parts Factory & Supplier Price - Fenghe.Supply OEM Custom Brown Rice Whey Protein Suppliers & Manufacturers Quotes - Huge RocIt aims to increase the coating surface and restore valve competency by external supportChina Supply Custom Ptfe Teflon Wire Factory & Supplier Price - FOD Electrical Engineeringand has not gained large popularity due to its efficacy. However,Wholesale CE High Quality Pallet Warehouse Factories & Manufacturers Pricelist - INNOVATIVE.Wholesale CE High Quality Hard Drawn Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited

Overall, all management modalities appear to be safe and effective in the short term and midterm,China Supply Custom Car Spray Booth Paint Cabinet Baking Oven Suppliers & Manufacturers Quotes - FOD Electrical EngineeringSupply OEM Custom Replacer Organic Rice Protein Products Cheap Price - Huge Roc.China Supply Custom Artificial Palm Tree Factories & Manufacturers Pricelist - Green Link New Materials Co., Ltd.;Wholesale Cheap OEM/ODM Mini Bear Finger & Toe Nail Dryer Factory & Supplier Price - LONGBON INTERNATIONAL INDUSTRY. FS was associated with the highest failure rate.Wholesale CE High Quality Spraying Reciprocate Machine Products Cheap Price - FOD Electrical Engineering,Supply OEM Custom Where To Buy Lecithin Products Cheap Price - Huge RocHowever, high-Wholesale CE High Quality Universal Whey Protein Factories & Manufacturers Pricelist - Huge Roc-term follow-China Supply Custom Diy Craft Products Cheap Price - Unionrise I&E.

Acknowledgments

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

References

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