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

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.