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Gavrilov S.G.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Maslennikov M.A.

N.I. Pirogov Municipal City Hospital No1, Moscow, Russia

Moskalenko E.P.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #1 im. N.I. Pirogova

The Role of Pelvic Phlebography in Diagnostics of Pelvio-Perineal Reflux: the Clinical Necessity or the Academic Interest?

Authors:

Gavrilov S.G., Lebedev I.S., Maslennikov M.A., Moskalenko E.P.

More about the authors

Journal: Journal of Venous Disorders. 2018;12(4): 252‑260

DOI: 10.17116/flebo201812041252

Read: 2712 times

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THE ROLE OF PELVIC PHLEBOGRAPHY IN DIAGNOSTICS OF PELVIO-PERINEAL REFLUX: THE CLINICAL NECESSITY OR THE ACADEMIC INTEREST?
THE ROLE OF PELVIC PHLEBOGRAPHY IN DIAGNOSTICS OF PELVIO-PERINEAL REFLUX: THE CLINICAL NECESSITY OR THE ACADEMIC INTEREST?

To cite this article:

Gavrilov SG, Lebedev IS, Maslennikov MA, Moskalenko EP. The Role of Pelvic Phlebography in Diagnostics of Pelvio-Perineal Reflux: the Clinical Necessity or the Academic Interest? Journal of Venous Disorders. 2018;12(4):252‑260. (In Russ.)
https://doi.org/10.17116/flebo201812041252

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Aim — the objective of the present study was to estimate the diagnostic value of ovaricography and pelvic venography in the patients presenting with pelvic varicose vein (PVV), vulvar (VV) and perineal varicose veins (PV). Material and methods. The study included 32 patients with PVV. In 12 women (group 1), PVV were accompanied by symptoms of pelvic congestion syndrome (PCS) (100%), vulvar varicosity (16.6%), valvular insufficiency of the left (83.3%) and right (16.6%) gonadal veins, parametral (100%) and uterine (66.6%) veins documented by ultrasound angioscanning (USAS). Twenty patients comprising group 2 exhibited no signs of the pelvic congestion syndrome, while 60% of them had VV and the remaining 40% had PV. Duplex ultrasound scanning revealed insufficiency of the left gonadal vein in 15% of the patients, of the parametric veins in 100%, uterine veins in 5%, of the vulvar and perineal veins in 100%. Ovaricography and pelvic phlebography (OGTP) were performed in all patients with the purpose of visualization of PPR. Results. In the patients comprising group 1, an increased diameter and valvular insufficiency of left gonadal and parametral veins were detected by OGTP in 100% of the cases. The May—Turner syndrome was diagnosed in three patients. In one case, a right-sided uretero-ovarian conflict was detected. Visualization of the obturator and pudendal veins proved possible in 8.3% of the patients and of the internal pudendal vein in another 8.3%. We did not observe reflux of the contrast agent in the perineal veins. Among the patients of group 2, valvular insufficiency of the left gonadal vein was diagnosed with the use of OGTP in 15% of the woman and of the parametral veins in 100%. Contrasting of obturator vein was detected in 10% of the patients, that of internal pudendal veins in 5% of them. Reflux of the contrast agent in the enlarged perineal veins was not recorded. Conclusion. Pelvic phlebography is not indicated for the patients presenting with PVV, VV and PV without the symptoms of the pelvic congestion syndrome and valvular insufficiency of gonadal veins as shown by duplex ultrasound sanning.

Keywords:

pelvic varicose veins
vulvar varicosity
perineal varicose veins
pelvic congestion syndrome
pelvic phlebography
pelvio-perineal reflux

Authors:

Gavrilov S.G.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Maslennikov M.A.

N.I. Pirogov Municipal City Hospital No1, Moscow, Russia

Moskalenko E.P.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #1 im. N.I. Pirogova

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References:

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