Novosti
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Year 2012 Vol. 20 No 1
GENERAL AND SPECIAL SURGERY
B.S. SUKOVATYKH, M.B. SYKOVATYKH
PATHOGENTIC JUSTIFICATION OF THE MINIMALLY INVASIVE TREATMENT OF THE PELVIC VARICOSE VEINS
SBEE HPE “Kursk State Medical University”,
the Russian Federation
Objectives. To clarify the mechanisms of development and on this ground to present pathogenetic justification of minimally invasive treatment of pelvic varicose veins.
Methods. Analysis of complex clinical, ultrasound, phlebography and phlebotonometry examinations of 60 female patients with pelvic varicose veins was carried out.
Results. It was found out that pelvic varicose veins developed because of hemodynamics disturbances in the system of the inferior vena cava, iliac and left renal veins. Combined action of the caval and reno-ovarian blood refluxes causes development of the pelvic venous congestion syndrome and formation of varicose veins of the vulva, pubis, perineum and gluteal area.
Conclusions. The designed methods of pelvic varicose veins sclerotherapy as well as differentiated approach to the pelvic venous congestion syndrome depending on the intensity of the blood refluxes along the gonadal veins are pathogenetically grounded and effective.
1.Mozes VG, Ushakova GA. Varikoznoe rasshirenie ven malogo taza u zhenshchin v osnovnye vozrastno-biologicheskie periody zhizni: klinika, diagnostika, profilaktika [Pelvic varicose veins in women in the main age and biological periods of life: clinical picture, diagnosis, prevention]. Moscow, RF: EliksKom; 2006. 104 p.
2.Iushchenko AN. Varikoznaia bolezn' malogo taza: kazuistika ili rasprostranennaia bolezn' [Pelvic varicose veins: casuistry or widespread disease]. Novosti Meditsiny i Farmatsii. 2005;(9):14–16.
3.Maiorov MV. Sindrom khronicheskikh tazovykh bolei v ginekologicheskoi praktike [Chronic pelvic pain syndrome in gynecological practice]. Provizor. 2003;(23):17–19.
4.Gavrilov SG, Butenko OI, Cherkashina MA. Varikoznaia bolezn' ven malogo taza: sovremennoe sostoianie problemy [Pelvic varicose veins pain: current state]. Annaly Khirurgii. 2003;(1):7–12.
5.Bogachev Viu. Varikoznaia bolezn' ven malogo taza [Pelvic varicose veins]. Consilium Medicum. 2006;(1):20–23.
6.Bergan JJ. Treatment of pelvic venous reflux (pelvic venous congestion) in North America. Vasc Surg. 1997;31(2):256–61.
7.Savel'ev VS. Flebologiia: rukovodstvo dlia vrachei [Phlebology: a guide for physicians]. Moscow, RF: Meditsina; 2001. 664 p.
8.Tarazov PG, Verdiev ND, Prozorovskii KV. Chreskateral'naia embolizatsiia varikoznorasshirennykh ovarial'nykh ven [Ttranscatheter embolization of ovarian varicose veins]. Vestn Khirurgii. 2002;(1):90–94.
9.Capasso P, Simons C, Trotteur G. Treatment of symptomatic pelvic varices by ovarian vein embolization. Cardiovasc Intervent Radiol. 1997;(20):107–11.
10.Tsukanov IuT, Vasilevich VV, Tsukanov AIu. Analiz otdalennykh rezul'tatov khirurgicheskogo lecheniia iz minidostupov i sklerozirovaniia pri poverkhnostnoi forme bolezni ven malogo taza [Analysis of long-term results of minimal access surgery and sclerosing in superficial form of the pelvic veins disease]. Endoskop Khirurgiia. 2006;(4):18–22.
11.Alekperova TV. Ul'trazvukovaia flebografiia. Opyt primeneniia v sovremennoi flebologicheskoi praktike [Ultrasonic phlebography. Experience of application in current phlebological practice]. Angiologiia Segodnia. 2000;(5): 2–9.
12.Belikov LN, Sukovatykh BS, Rodionov OA, Sukovatykh MB, Shcherbakov AN, Zaits VI. Sposob skleroterapii varikoznykh ven nizhnikh konechnostei [The method of sclerotherapy for varicose veins of the lower extrimities]: patent RF № 2179457; zaiavitel' Kurskii gosudarstvennyi meditsinskii universitet. Otkrytiia Izobret. 2002;(5):32.
13.Sukovatykh BS, Gazazian MG, Rodionova IG, Belikov LN, Gorbachev IuI, Rodionov OA, Sukovatykh MB. Sposob kateternoi skleroterapii varikozno rasshirennoi iaichnikovoi veny [The method of catheter-assisted ovarian vein sclerotherapy]: pat RF № 2183472; zaiavitel' Kurskii gosudarstvennyi meditsinskii universitet. Otkrytiia Izobret. 2002;(12):41.
305041, Rossiiskaia Federatsiia, g. Kursk, ul. K. Marksa, d. 3, GBOU VPO “Kurskii gosudarstvennyi meditsinskii universitet”, kafedra obshchei khirurgii,
e-mail: kaf.obsh_hir@kurskmed.com,
Sukovatykh Boris Semenovich
Sukovatykh B.S. Doctor of medical sciences, professor, head of the general surgery chair of state budgetary educational establishment of higher professional education “Kursk State Medical University”.
Sykovatykh M.B. Candidate of medical sciences, associate professor of the general surgery chair of state budgetary educational establishment of higher professional education “Kursk State Medical University”.
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