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.
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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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