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Fan Lin
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Shiyi Zhang
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
Yan Sun
2Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan Shandong, China
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1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Peng Liu
1Department of Vascular Surgery, China-Japan Friendship Hospital No. 2, Yinghua yuan East Road, Beijing, China
Abstract
Supply OEM Custom Medical Face Mask Factory & Supplier Price - Xingzhichen. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on Supply OEM Custom Outdoor Gym Equipemnt Factories & Manufacturers Pricelist - Shanghai Mutong Toys.Wholesale CE High Quality Wire Shelving Parts Factory & Supplier Price - INNOVATIVE.Wholesale Cheap OEM/ODM Anorectal Dressing Products Cheap Price - Xingzhichen.China Supply Custom Plastic Crates Manufacturer China 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%.China Supply Custom Vitamin C Deciency Syrup Products Cheap 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.Wholesale CE High Quality Fire Resistant Cable Suppliers & Manufacturers Quotes - FOD Electrical Engineering–Wholesale Cheap OEM/ODM Pet Protein Factories & Manufacturers Pricelist - Huge RocHigh ligation and stripping is the traditional approach for varicose veins, yet a variety of alternative options have been used in recent decades,China Supply Custom White Wooden Shelf Brackets Products Cheap Price - INNOVATIVE(EVLA),Wholesale Cheap OEM/ODM 20/22/24/26gauge Wire Tinned Copper Conductor Led Lamp Wire Products Cheap Price - FOD Electrical Engineering(RFA), foam sclerotherapy (FS),China Supply Custom Electric Pressure Washer Factory & Supplier Price - Mingou. Ltd.–Durable Heavy Duty Screen Printer
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 Metal Parts Products Cheap Price - FengheThe diagnosis of varicose veins is based on clinical manifestation and ultrasound.Wholesale Cheap OEM/ODM Calcium Propionate Vegan Products Cheap Price - Huge Roc. 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 Tinned Copper Wire Suppliers & Manufacturers Quotes - FOD Electrical Engineering).Wholesale Cheap OEM/ODM Buy Calcium Propionate Products Cheap Price - Huge RocSupply OEM Custom Timber Shelving Units Factory & Supplier Price - INNOVATIVE.China Supply Custom Sandwich Panel For Dustless Workshop Ceiling Products Cheap Price - FOD Electrical Engineering,www.packagingbagfactory.comSupply OEM Custom Multifunction Electric Steamer Products Cheap Price - LONGBON INTERNATIONAL INDUSTRY; 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 China Black Annealed Iron Wire Suppliers & Manufacturers Quotes - Bluekin Industries Limited.
Table 1
CEAP classification: C (clinical component)
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 Calcium Alginate Dressing Products Cheap Price - Xingzhichen,Wholesale Cheap OEM/ODM Kinesiology Paster Medical Suppliers & Manufacturers Quotes - XingzhichenSymptomatic patients with C2 to C6 diseases are indicated for management,Wholesale CE High Quality Disposable Printed Face Mask Products Cheap 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,Featuredbecause 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 China Storage Plastic Crates Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., and early surgery in uncomplicated veins will not prevent the development of future varicosities.
Supply OEM Custom Phone Case Iphone 5c Products Cheap Price - Shenzhen Hxs Technology, such as acute DVT,Wholesale CE High Quality Shelves For Shops Factories & Manufacturers Pricelist - INNOVATIVEpregnancy, the superficial veins as collaterals for occluded deep veins, and arterial insufficiency; however,China Supply Custom Library Mobile Shelving Products Cheap Price - INNOVATIVE,Wholesale Cheap OEM/ODM Sodium Cyclamate Distributor Products Cheap Price - Huge Roc,Wholesale CE High Quality Brown Rice Protein Supplement Factory & Supplier Price - Huge Roc—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 Cheap OEM/ODM Embossed Aluminum Coil Factories & Manufacturers Pricelist - Shuanglin Jiate Metal 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.Wholesale Cheap OEM/ODM Folding Jib Aerial Working Vehicle Suppliers & Manufacturers Quotes - FengheIt is not rare for recurrence, hematoma, and skin infection to occur after surgical procedure (Wholesale CE High Quality Cell Phone Case Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology). And massive bleeding due to injury to femoral veins,China Supply Custom Soya Lecithin Food Grade Factory & Supplier Price - Huge Roc, 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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China Supply Custom Gmp Certified Vitamin C Tablet Products Cheap Price - KeMing Medicines; these belong to the category of minimally invasive catheter-based procedures.Wholesale CE High Quality Blue And Waxed Steel Strapping Products Cheap Price - Bluekin Industries LimitedIn this procedure, a catheter is inserted and positioned at 2 cm below the saphenofemoral or saphenopopliteal junction.Wholesale Cheap OEM/ODM adhesive wound dressing Factories & Manufacturers Pricelist - Xingzhichen. Alternatively,Supply OEM Custom Single Wire Factories & Manufacturers Pricelist - Bluekin Industries Limited.Supply OEM Custom Can Inside Spray Painting Machine Suppliers & Manufacturers Quotes - FOD Electrical Engineering.Supply OEM Custom Barbed Wire Unroller Factory & Supplier Price - Bluekin Industries Limited
Wholesale Cheap OEM/ODM Make Up Female Mannequin Factory & Supplier Price - Zhongyi Plastic Technology Co.,Ltd., 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.China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc,China Supply Custom Quick Response Thermocouple Wire Type K Suppliers & Manufacturers Quotes - FOD Electrical Engineering,400th Asphalt Batching PlantChina Supply Custom Best High Fiber Diet Factory & Supplier Price - Huge Roc, recurrence rates,China Supply Custom Antibiotics Oral Suspension Factories & Manufacturers Pricelist - KeMing Medicines.China Supply Custom Artificial Indoor Cherry Blossom Tree Factories & Manufacturers Pricelist - Green Link New Materials Co.,Wholesale CE High Quality Nails Machine Making Factories & Manufacturers Pricelist - Bluekin Industries Limited
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,China Supply Custom Table Fan Winding Machine Products Cheap Price - Ningbo Nide Mechanical Equipment Co., Ltd.Wholesale Cheap OEM/ODM Road Machinery Products Cheap Price - Fenghe;Supply OEM Custom Stainless Steel Nozzle Factory & Supplier Price - Mingou. 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 Animal Hot Water Bottle Suppliers & Manufacturers Quotes - Jade Rabbit Electrical Appliance,Wholesale CE High Quality Sandwich Panel Workshop Project Products Cheap Price - FOD Electrical Engineering
Radiofrequency ablation
Supply OEM Custom Tpu Phone Case Iphone 5s Suppliers & Manufacturers Quotes - Shenzhen Hxs Technology; 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 98% Soya Lecithin/Soybean Factory & Supplier Price - Huge Roc.
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 CE High Quality 10% Butafosfan Vitamin B12 Injection Suppliers & Manufacturers Quotes - KeMing Medicines,Wholesale CE High Quality Brown Rice Protein Benefits Suppliers & Manufacturers Quotes - Huge Roc,China Supply Custom Coating Masking Jig Factories & Manufacturers Pricelist - FOD Electrical Engineering
Foam sclerotherapy
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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 CE High Quality Five Bar Patern Checkered Aluminum Sheet Suppliers & Manufacturers Quotes - Shuanglin Jiate Metal Technology,www.zichen-rubber.com
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Overall, all management modalities appear to be safe and effective in the short term and midterm,Wholesale CE High Quality Sodium Cyclamate Distributor Suppliers & Manufacturers Quotes - Huge RocSupply OEM Custom Kid Drawing Board Factories & Manufacturers Pricelist - Unionrise I&E.Supply OEM Custom Non Gmo Soy Lecithin Products Cheap Price - Huge Roc;China Supply Custom Bakers Ammonia Factory & Supplier Price - Huge Roc. FS was associated with the highest failure rate.Wholesale Cheap OEM/ODM Max Protein Products Cheap Price - Huge Roc,Supply OEM Custom Electric Hand Warmer Gloves Factories & Manufacturers Pricelist - Jade Rabbit Electrical ApplianceHowever, high-Wholesale CE High Quality Speed Depilatory Roll On Wax Heater Roller Suppliers & Manufacturers Quotes - LONGBON INTERNATIONAL INDUSTRY-term follow-Wholesale Cheap OEM/ODM Easy Patch Factories & Manufacturers Pricelist - Xingzhichen.
Acknowledgments
The first three authors (FL, YS, SZ) contributed equally to this article.
References
Articles fromInternational Surgeryare provided here courtesy ofInternational College of Surgeons
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