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).^{Supply OEM Custom wound dressing making pad Factories & Manufacturers Pricelist - Xingzhichen}The diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale CE High Quality Tattoo Barbed Wire Products Cheap Price - 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 (Supply OEM Custom Soft Annealed Iron Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited).^{China Supply Custom Good Protein Powder Products Cheap Price - Huge Roc}Supply OEM Custom Custom Made Plastic Crate Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale CE High Quality Soy Milk Protein Factories & Manufacturers Pricelist - Huge Roc,China Supply Custom Grocery Store Shelves Suppliers & Manufacturers Quotes - INNOVATIVE}Wholesale CE High Quality Pea Protein Powder Where To Buy Factory & Supplier Price - 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,Supply OEM Custom High Fiber High Protein Foods Suppliers & Manufacturers Quotes - Huge Roc.

Table 1

CEAP classification: C (clinical component)

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 Black Metal Steel Strapping Products Cheap Price - Bluekin Industries Limited,Wholesale CE High Quality Hair Straightening Brush Suppliers Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}Symptomatic patients with C2 to C6 diseases are indicated for management,Wholesale Cheap OEM/ODM Stator Forming Machine Suppliers & Manufacturers Quotes - Ningbo Nide Mechanical Equipment Co., Ltd., superficial thrombophlebitis, and bleeding.

Asymptomatic patients can be observed and do not need treatment or prophylactic intervention.^{Supply OEM Custom Mobile Shelves Factory & Supplier Price - INNOVATIVE}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,^{Grid Frame Steel Structure Roof}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 Folding Plastic Crate Maker 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 Bromhexine Hydrochloride Syrup Factories & Manufacturers Pricelist - KeMing Medicines, such as acute DVT,^{Supply OEM Custom Agriculture Plastic Tote Products Cheap Price - Zhongyi Plastic Technology Co.}pregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,Wholesale Cheap OEM/ODM Metal T Post Factory & Supplier Price - Bluekin Industries Limited,China Supply Custom Gymnasium Factory & Supplier Price - Green Link New Materials Co., Ltd.,Supply OEM Custom Cheap Small Plastic Containers Products Cheap Price - Zhongyi Plastic Technology 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.^{Wholesale CE High Quality 4mm Welding Rod Factories & Manufacturers Pricelist - Bluekin Industries Limited}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.^{China Supply Custom Sun9s Nail Light Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY}It is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (China Supply Custom Facial Mask Factories & Manufacturers Pricelist - Xingzhichen). And massive bleeding due to injury to femoral veins,China Supply Custom Pet Artificial Turf Factory & Supplier Price - Green Link New Materials 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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Foam sclerotherapy

China Supply Custom Table Fan Winding Machine Factory & Supplier Price - Ningbo Nide Mechanical Equipment Co., Ltd.; it can be undertaken in the outpatient clinic,Wholesale CE High Quality Pea Protein Reviews Factory & Supplier Price - Huge Roc.^{Wholesale Cheap OEM/ODM Pain Relief Factories & Manufacturers Pricelist - Xingzhichen}Observational studies found that success rates vary from 82% to 100%,^{Wholesale Cheap OEM/ODM Chain Link Fence Suppliers & Manufacturers Quotes - Bluekin Industries Limited}Wholesale CE High Quality Disposable Antibacterial Face Mask Suppliers & Manufacturers Quotes - 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 Portable Handheld Sun6 48w Nail Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY). Complications after FS are rare, including bruising, thrombophlebitis, skin pigmentation, and visual disturbance.^{Supply OEM Custom Children Plastic Suncatchers Factories & Manufacturers Pricelist - Unionrise I&E}

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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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Wholesale CE High Quality Fermented Brown Rice Protein Powder Factories & Manufacturers Pricelist - Huge Roc. 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.Wholesale Cheap OEM/ODM Battery Operated Nail Dryer Lamp Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY,Wholesale CE High Quality Solid Plastic Crates Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.,Ltd..^{Wholesale Cheap OEM/ODM Wood Shelves For Sale Suppliers & Manufacturers Quotes - INNOVATIVE}China Supply Custom High Soluble Fiber Factory & Supplier Price - Huge Roc.Wholesale Cheap OEM/ODM Rebar Tying Wire Spool Factory & Supplier Price - Bluekin Industries Limited.China Supply Custom Protein Rice Factory & Supplier Price - Huge Roc.Supply OEM Custom Galvanized Steel Mesh Products Cheap Price - Bluekin Industries Limited.China Supply Custom Synthetic Plant Products Cheap Price - Green Link New Materials Co., Ltd.. External valvuloplasty, such as external vein valve wrapping,China Supply Custom Neural Relaxation Patch Products Cheap Price - Xingzhichen.^{China Supply Custom Foam Sprayer Factory & Supplier Price - Mingou}It aims to increase the coating surface and restore valve competency by external support^{Supply OEM Custom Soy Protein Isolate Cas 9010-10-0 Factory & Supplier Price - Huge Roc}and has not gained large popularity due to its efficacy. However,China Supply Custom Flowers Artificial Products Cheap Price - Green Link New Materials Co., Ltd..^{Wholesale CE High Quality Non-Gmo Pea Dietary Fiber Factory & Supplier Price - Huge Roc}

Overall, all management modalities appear to be safe and effective in the short term and midterm,^{Supply OEM Custom Plastic Transparent Bin Factories & Manufacturers Pricelist - Zhongyi Plastic Technology Co.}China Supply Custom Good Wax Warmer Factories & Manufacturers Pricelist - LONGBON INTERNATIONAL INDUSTRY.Wholesale Cheap OEM/ODM Crochet Hand Warmers Products Cheap Price - Jade Rabbit Electrical Appliance;China Supply Custom Antibiotic Ivermectin Factories & Manufacturers Pricelist - KeMing Medicines. FS was associated with the highest failure rate.^{Wholesale Cheap OEM/ODM Very High Fiber Foods Factory & Supplier Price - Huge Roc,China Supply Custom Very High Fiber Foods Factories & Manufacturers Pricelist - Huge Roc}However, high-Wholesale Cheap OEM/ODM Plastic Kids Outdoor Playground Slide Suppliers & Manufacturers Quotes - Shanghai Mutong Toys-term follow-Wholesale CE High Quality Mica Tape And Fiber Glass Insulating Wire And Cable Factory & Supplier Price - FOD Electrical Engineering.

Acknowledgments

References