The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Gavrilov S.G.

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

Efremova O.I.

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

Grishenkova A.S.

Saveliev University’s Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russia

Krasavin G.V.

Savelyev University Surgical Clinic of the Pirogov Russian National Research Medical University

Venous Pelvic Pain Management: Surgical and Endovascular Approaches (Lecture #2)

Authors:

Gavrilov S.G., Efremova O.I., Grishenkova A.S., Krasavin G.V.

More about the authors

Journal: Journal of Venous Disorders. 2019;13(4): 326‑334

DOI: 10.17116/flebo201913041326

Read: 4587 times

Download PDF (RU)
Contact the author
Table of contents

VENOUS PELVIC PAIN MANAGEMENT: SURGICAL AND ENDOVASCULAR APPROACHES (LECTURE #2)
VENOUS PELVIC PAIN MANAGEMENT: SURGICAL AND ENDOVASCULAR APPROACHES (LECTURE #2)

To cite this article:

Gavrilov SG, Efremova OI, Grishenkova AS, Krasavin GV. Venous Pelvic Pain Management: Surgical and Endovascular Approaches (Lecture #2). Journal of Venous Disorders. 2019;13(4):326‑334. (In Russ.)
https://doi.org/10.17116/flebo201913041326

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Urgent Situations in Clinical Phle­bology. Journal of Venous Diso­rders. 2025;(3):216-228
Endo­vascular aortic repair in a patient with seco­ndary aortoenteric fistula and critical lower limb ischemia. Piro­gov Russian Journal of Surgery. 2025;(4):100-106
Hybrid surgery for acute lower limb ischemia. Piro­gov Russian Journal of Surgery. 2025;(8):39-44
Abstract:

Various open surgical, endoscopic and endovascular interventions used in the treatment of pelvic congestion syndrome and venous pelvic pain are reported in the lecture. Effectiveness of various operations for venous pelvic pain, the use of hybrid technologies for combined pathology of pelvic veins and organs are considered.

Keywords:

venous pelvic pain
resection of gonadal veins
embolization of gonadal veins
venous stenting
hybrid surgery

Authors:

Gavrilov S.G.

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

Efremova O.I.

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

Grishenkova A.S.

Saveliev University’s Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russia

Krasavin G.V.

Savelyev University Surgical Clinic of the Pirogov Russian National Research Medical University

Close metadata

References:

  1. Netter F. Atlas anatomii cheloveka. Pod red. Bartosha N.O. Per. s angl. Kiyasova A.P. M.: GEOTAR-MEDIA, 2003. (In Russ.)
  2. Hobbs JT. The pelvic congestion syndrome. Practitioner. 1976;216:529-540.
  3. Lechter A, Lopez G, Martinez C, Camacho J. Anatomy of the gonadal veins: a reappraisal. Surgery. 1991;109(6):735-739.
  4. Craig O, Hobbs JT. Vulval phlebography in the pelvic congestion syndrome. Clin Radiol. 1975 Oct;26(4):517-525. https://doi.org/10.1016/S0009-9260(75)80112-7
  5. Aslam MI, Flexer SM, Figueiredo R, Ashour HY, Bhattacharya V. Successful embolization of vulval varices arising from the external pudendal vein. J Surg Case Rep. 2014 Feb 6;2014(2):1-3. https://doi.org/10.1093/jscr/rjt129
  6. Van Cleef JF. Treatment of vulvar and perineal varicose veins. Phlebolymphology. 2011;18(1):38-43.
  7. Sutaria R, Subramanian A, Burns B, Hafez H. Prevalence and management of ovarian venous insufficiency in the presence of leg venous insufficiency. Phlebology. 2007;22(1):29-33. https://doi.org/10.1258/026835507779700617
  8. Giannoukas AD, Dacie JE, Lumley JS. Recurrent varicose veins of both lower limbs due to bilateral ovarian vein incompetence. Ann Vasc Surg. 2000 Jul;14(4):397-400. https://doi.org/10.1007/s100169910075
  9. Perrin MR, Labropoulos N, Leon Jr. LR. Presentation of the patient with recurrent varices after surgery (REVAS). J Vasc Surg. 2006;43:327-334. https://doi.org/10.1016/j.jvs.2005.10.053
  10. Pokrovskiy AV, Ignat’ev IM, Bredikhin RA, Gradusov EG. Posleoperatsionnye retsidivy varikoznoy bolezni. Angiologiya i sosudistaya hirurgiya. 2015;21(4):18-125. (In Russ.)
  11. May R, Thurner J. The cause of the predominately sinistral occurrence of thrombosis of the pelvic veins. Angiology. 1957;8:419-427.
  12. Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J. Iliac vein compression in an asymptomatic patient population. J Vasc Surg. 2004 May;39(5):937-943. https://doi.org/10.1016/j.jvs.2003.12.032
  13. Scultetus AH, Villavicencio JL, Gillespie DL. The nutcracker syndrome: its role in the pelvic venous disorders. J Vasc Surg. 2001 Nov;34(5):812-819. https://doi.org/10.1067/mva.2001.118802
  14. Buschi AJ, Harrison RB, Norman A, Brenbridge AG, Williamson BR, Gentry RR, Cole R. Distended left renal vein: CT/sonographic normal variant. AJR Am J Roentgenol. 1980:135(2):339-342. https://doi.org/10.2214/ajr.135.2.339
  15. Clark J. The right ovarian vein syndrome. In: Emmett J (ed). Clinical urography: an atlas and textbook of roentgenologic diagnosis. 2nd ed. WB Saunders, Philadelphia; 1964.
  16. Borghi C, Dell’Atti L. Pelvic congestion syndrome: the current state of the literature. Arch Gynecol Obstet. 2016 Feb;293(2):291-301. https://doi.org/10.1007/s00404-015-3895-7
  17. Rundqvist E, Sandholm LE, Larsson G. Treatment of pelvic varicosities causing lower abdominal pain with extraperitoneal resection of the left ovarian vein. Ann Chir Gynaecol. 1984;73(6):339-341.
  18. Kirienko AI, Gavrilov SG, Yanina AM, Turishcheva OO. Ocenka ehffektivnosti hirurgicheskih sposobov lecheniya tazovogo venoznogo polnokroviya. Flebologiya. 2016;10(1):44-49. (In Russ.) https://doi.org/10.17116/flebo201610144-49
  19. Gargiulo T, Mais V, Brokaj L, Cossu E, Melis GB. Bilateral laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome. J Am Assoc Gynecol Laparosc. 2003;10(4):501-504. https://doi.org/10.1016/S1074-3804(05)60156-9
  20. Rogers A, Beech A, Braithwaite B. Transperitoneal laparoscopic left gonadal vein ligation can be the right treatment option for pelvic congestion symptoms secondary to nutcracker syndrome. Vascular. 2007 Jul-Aug;15(4): 238-240. https://doi.org/10.2310/6670.2007.00034
  21. Kirienko AI, Sazhin AV, Gavrilov SG, Turishcheva OO. Pervyj opyt primeneniya retroperitoneal’noj ehndoskopicheskoj rezekcii gonadnyh ven v lechenii tazovogo venoznogo polnokroviya. Endoskopicheskaya hirurgiya. 2016;22(3):37-39. (In Russ.) https://doi.org/10.17116/endoskop201622337-39
  22. Sazhin AV, Gavrilov SG, Temirbolatov MD. Ehndoskopicheskie tekhnologii v diagnostike i lechenii tazovogo venoznogo polnokroviya. Flebologiya. 2017;11(3):146-153. (In Russ.) https://doi.org/10.17116/flebo2017113146-153
  23. Hartung O, Barthelemy P, Berdah SV, Alimi YS. Laparoscopy-assisted left ovarian vein transposition to treat one case of posterior nutcracker syndrome. Ann Vasc Surg. 2009 May-Jun;23(3):413.e13-e16. https://doi.org/10.1016/j.avsg.2008.08.026
  24. Strakhov SN, Pryadko SI, Bondar ZM, Kosyreva NB. Varianty arhitektoniki, gemodinamiki levoj pochechnoj i yaichkovoj ven i vybor patogeneticheski obosnovannogo metoda hirurgicheskogo lecheniya levostoronnego varikocele. Annaly hirurgii. 2014;3:32-40. (In Russ.)
  25. Pryadko SI, Arakelyan VS, Malinin AA, Dzhabaeva MS, Chshieva IV, Sergeev SYu. Rekonstruktivnye operacii na pochechnyh i gonadnyh venah u pacientov s pochechnym i tazovym polnokroviem. Byulleten’ NCSSKH im. A.N. Bakuleva RAMN Serdechno-sosudistye zabolevaniya. 2018.19(S6):142. (In Russ.)
  26. Bredikhin RA, Ignat’ev IM, Fomina EE, Volodyukhin MYu, Gaptravanov AG, Mihaylov K. Diagnostika i lechenie varikoznoj bolezni ven malogo taza. Angiologiya i sosudistaya khirurgiya. 2012;18(1):63-69. (In Russ.)
  27. Hamoodi I, Hawthorn R, Moss J.G. Can ovarian vein embolization cause more harm than good? J Obstet Gynaecol Res. 2015 Dec;41(12):1995-1997. https://doi.org/10.1111/jog.12805
  28. Tuite DJ, Kessel DO, Nicholson AA, Patel JV, McPherson SJ, Shaw DR. Initial clinical experience using the Amplatzer Vascular Plug. Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):650-654. https://doi.org/10.1007/s00270-007-9044-3
  29. Basile A, Marletta G, Tsetis D, Patti MT. The Amplatzer vascular plug also for ovarian vein embolization. Cardiovasc Intervent Radiol. 2008 Mar-Apr; 31(2):446-447. https://doi.org/10.1007/s00270-007-9235-y
  30. Taki W, Yonekawa Y, Iwata H, Uno A, Yamashita K, Amemiya H. A new liquid material for embolization of arteriovenous malformations. AJNR Am J Neuroradiol. 1990 Jan-Feb;11(1):163-168.
  31. Marcelin C, Izaaryene J, Castelli M, Barral PA, Jacquier A, Vidal V, Bartoli JM. Embolization of ovarian vein for pelvic congestion syndrome with ethylene vinyl alcohol copolymer (Onyx). Diagn Interv Imaging. 2017 Dec; 98(12):843-848. https://doi.org/10.1016/j.diii.2017.05.011
  32. Tropeano G, Di Stasi C, Amoroso S, et al. Ovarian vein incompetence: a potential cause of chronic pelvic pain in women. Eur J Obstet Gynecol Reprod Biol. 2008 Aug;139(2):215-221. https://doi.org/10.1016/j.ejogrb.2007.11.006
  33. Gandini R, Konda D, Abrignani S, Chiocchi M, Da Ros V, Morosetti D, Simonetti G. Treatment of symptomatic high-flow female varicoceles with stop-flow foam sclerotherapy. Cardiovasc Intervent Radiol. 2014 Oct;37(5): 1259-1267. https://doi.org/10.1007/s00270-013-0760-6
  34. Creton D, Hennequin L, Kohler F, Allaert F.A. Embolisation of symptomatic pelvic veins in women presenting with non-saphenous varicose veins of pelvic origin — three-year follow-up. Eur J Vasc Endovasc Surg. 2007;34(1):112-117. https://doi.org/10.1016/j.ejvs.2007.01.005
  35. 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
  36. Asciutto G, Asciutto K.C, Mumme A, Geier B. Pelvic venous incompetence: reflux patterns and treatment results. Eur J Vasc Endovasc Surg. 2009;38(3):381-386. https://doi.org/10.1016/j.ejvs.2009.05.023
  37. Hartung O, Grisoli D, Boufi M, Marani I, Hakam Z, Barthelemy P, Alimi Y.S. Endovascular stenting in the treatment of pelvic vein congestion caused by nutcracker syndrome: lessons learned from the first five cases. J Vasc Surg. 2005 Aug;42(2):275-280. https://doi.org/10.1016/j.jvs.2005.03.052
  38. Chen S, Zhang H, Shi H, Tian L, Jin W, Li M. Endovascular Stenting for Treatment of Nutcracker Syndrome: Report of 61 Cases With Long-Term Followup. The Journal of Urology. 2011;186(2):570-575. https://doi.org/10.1016/j.juro.2011.03.135
  39. Rastogi N1, Kabutey NK, Kim D. Incapacitating pelvic congestion syndrome in a patient with a history of May-Thurner syndrome and left ovarian vein embolization. Ann Vasc Surg. 2012;26(5):732.e7-e11. https://doi.org/10.1016/j.avsg.2011.08.029
  40. Revyakin VI, Dubrovskij AV, Panin AV, Gavrilov SG. Laparoskopicheskie vmeshatel’stva na venakh zabryushinnogo prostranstva. Akusherstvo i ginekologiya. 2005;5:29-31. (In Russ.)
  41. Daugherty SF, Gillespie DL. Venous angioplasty and stenting improve pelvic congestion syndrome caused by venous outflow obstruction. J Vasc Surg Venous Lymphat Disord. 2015 Jul;3(3):283-289. https://doi.org/10.1016/j.jvsv.2015.01.003
  42. Gavrilov SG, Shipovskij VN, Karalkin AV, Maksimova MA, Belyaeva ES. Sluchaj uspeshnogo lecheniya tazovogo venoznogo polnokroviya, obuslovlennogo sindromom Meya—Tyornera. Flebologiya. 2010;4(1):68-71. (In Russ.).
  43. Gavrilov SG, Sazhin AV, Maslennikov MA, Lebedev IS, Moskalenko EP, Kirsanov KV, Yusufov AG. Vozmozhnosti gibridnyh tekhnologij v lechenii sindroma tazovogo venoznogo polnokroviya. Flebologiya. 2018;12(3):134-141. (In Russ.) https://doi.org/10.17116/flebo2018123134
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.