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Gavrilov S.G.

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

Efremova O.I.

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

Does Intrapelvic Veins Enlargement Influence Symptoms of Chronic Venous Disease in Patientswith Concomitant Varicose Veins of Pelvis and Lower Extremities?

Authors:

Gavrilov S.G., Moskalenko E.P., Efremova O.I.

More about the authors

Journal: Journal of Venous Disorders. 2019;13(2): 112‑118

DOI: 10.17116/flebo201913021112

Views: 777

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DOES INTRAPELVIC VEINS ENLARGEMENT INFLUENCE SYMPTOMS OF CHRONIC VENOUS DISEASE IN PATIENTSWITH CONCOMITANT VARICOSE VEINS OF PELVIS AND LOWER EXTREMITIES?
DOES INTRAPELVIC VEINS ENLARGEMENT INFLUENCE SYMPTOMS OF CHRONIC VENOUS DISEASE IN PATIENTSWITH CONCOMITANT VARICOSE VEINS OF PELVIS AND LOWER EXTREMITIES?

To cite this article:

Gavrilov SG, Moskalenko EP, Efremova OI. Does Intrapelvic Veins Enlargement Influence Symptoms of Chronic Venous Disease in Patientswith Concomitant Varicose Veins of Pelvis and Lower Extremities? Journal of Venous Disorders. 2019;13(2):112‑118. (In Russ.)
https://doi.org/10.17116/flebo201913021112

Подписка 2025-2 (Journal of Venous Disorders)
 
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Aim — to determine the effect of intrapelvic veins enlargement on the symptoms of chronic venous disease (CVD) in patients with concomitant varicose veins of pelvis (VVP) and lower extremities (VVLE). Material and methods. There were 30 patients with VVLE and 45 women with VVLE combined with VVP. CVD CEAP C2 was detected in 47 patients, C3 — in 28 patients. Incidence and severity of varicose, pain and edematous syndromes, heaviness in legs were assessed. All patients underwent duplex ultrasound scanning (DUS) of the veins of the lower extremities and pelvis. Patients were divided into 2 groups: control group — 30 patients with VVLE without pelvic veins pathology; group 2 — 45 patients with VVP and VVLE. Results. There were more severe symptoms of CVD in group 2. Risk of pain in legs was 4 times higher in group 2 compared with group 1 (OR 4.23; 95% CI 1.57—11.39). VVP combined with VVLE was followed by 7-fold increase of the incidence of edema of legs compared with VVLE alone (OR 7.42; 95% CI 2.23—24.78). OR of heaviness in legs was 5 times higher in group 2 than in group 1 (OR = 5.3, 95% CI 1.85—15.07). Varicose syndrome was 2 times more severe in group 2. Conclusion. Intrapelvic veins enlargement is accompanied by higher incidence and severity of CVD in patients with VVP and VVLE.

Keywords:

varicose vein of the pelvis and lower extremities
chronic pelvic pain
venous pain
chronic venous disease

Authors:

Gavrilov S.G.

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

Efremova O.I.

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

List of references:

  1. Gültaşli NZ, Kurt A, Ipek A, Gümüş M, Yazicioğlu KR, Dilmen G, Taş I. The relation between pelvic varicose veins, chronic pelvic pain and lower extremity venous insufficiency in women. Diagn Interv Radiol. 2006 Mar; 12(1):34-38.
  2. Pokrovskiy AV, Ignat’ev IM, Bredikhin RA, Gradusov EG. Posleoperacionnye recidivy varikoznoj bolezni. Angiologiya i sosudistaya khirurgiya. 2015;21(4):118-125. (In Russ.)
  3. Whiteley AM, Taylor DC, Dos Santos SJ, Whiteley MS. Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women. J Vasc Surg Venous Lymphat Disord. 2014;2(4):411-415. https://doi.org/10.1016/j.jvsv.2014.05.005
  4. Asciutto G, Mumme A, Asciutto KC, Geier B. Pelvic vein incompetence influences pain levels in patients with lower limb varicosity. Phlebology. 2010 Aug;25(4):179-183. https://doi.org/10.1258/phleb.2009.009014
  5. Lasry JL, Coppe G, Balian E, Borie H. Pelvi-perineal venous insufficiency and varicose veins of the lower limbs: duplex Doppler diagnosis and endoluminal treatment in thirty females. J Mal Vasc. 2007;32(1):23-31. https://doi.org/10.1016/j.jmv.2006.12.003
  6. Foong LC, Gamble J, Sutherland IA, Beard RW. Altered peripheral vascular response of women with and without pelvic pain due to congestion. BJOG. 2000 Feb;107(2):157-164. https://doi.org/10.1111/j.1471-0528.2000.tb11684.x
  7. Bora A, Avcu S, Arslan H, Adali E, Bulut MD. The relation between pelvic varicose veins and lower extremity venous insufficiency in women with chronic pelvic pain. JBR-BTR. 2012 Jul-Aug;95(4):215-221.
  8. Karalkin AV, Gavrilov SG, Kirienko AI, Saitova GD, Moskalenko EP, Balashov AV. Sostoyanie venoznogo vozvrata iz nizhnih konechnostej u pacientov s varikoznoj bolezn’yu ven malogo taza. Grudn. i serd.-sosud. khirur. 2005;6:30-33. (In Russ.)
  9. Kirienko AI, Gavrilov SG, Karalkin AV, Butenko OV, Kapranov SA, Novikov SA. Diagnostika varikoznoj bolezni ven taza. Annaly khirurgii. 2003;4:51-56. (In Russ.)
  10. Hansrani V, Dhorat Z, McCollum CN. Diagnosing of pelvic vein incompetence using minimally invasive ultrasound techniques. Vascular. 2017 Jun; 25(3):253-259. https://doi.org/10.1177/1708538116670499
  11. Gavrilov SG, Moskalenko EP, Karalkin AV, Lebedev IS, Son DA, Turischeva OO. YAvlyaetsya li diametr tazovykh ven prediktorom tazovogo venoznogo polnokroviya? Flebologiya. 2017;11(1):28-31. (In Russ.) https://doi.org/10.17116/flebo201711128-31

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