Operative therapy of lower extremity varicose vein disease in women with pelvic congestion syndrome

Yerlan Salmenbayev; Essengazy Massalimov; Altay  Dyussupov; Dinara Akhmetzhanova; Nazarbek Omarov

doi:10.53730/ijhs.v6nS7.12117

Authors

Yerlan Salmenbayev Graduate student, Non-profit joint stock company Semey Medical University, the Republic of Kazakhstan
Essengazy Massalimov MD, Associate Professor
Altay Dyussupov
Dinara Akhmetzhanova
Nazarbek Omarov MD, Republic of the Kazakhstan, Semey city, 071400, 103, Abai St.; tel. 8 701 5368081

Keywords:

lower limb varicose vein disease, phlebology, perioperianal reflux, phlebography

Abstract

Background: Approximately a third of women of fertile age suffer from chronic pelvic pain. 20% of gynecological encounters are associated with this exact problem. Within the structure of reasons of chronic pelvic pain pelvic vein incompetence (pelvic congestion syndrome) takes up to 30%, however, patients are correctly diagnosed only in 2–4% of the cases. Operative treatment helps solve the problem completely, but high disease reoccurrence and post-surgery complications rate remain relevant. Materials and Methods: 62 women with lower limb varicose vein disease aged from 22 to 48, including 20 women diagnosed with pelvic congestion, were examined and assigned into two groups (main group – 32, comparison group – 30). The main group was applied operative therapy based on the developed method of insufficient communicant vein dissection and, in case of pelvic congestion, – surgical intervention aiming at its elimination. Assessment of the result was conducted through the determination of post-surgery complications and with the varicose vein disease severity (VCSS) method. The aim: To decrease the frequency of the lower limb varicose vein disease reoccurrence after operative therapy of the pathology.

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