Abstract
Introduction: Pelvic venous incompetence (PVI) is the most common chronic pathology, mainly affecting women of different ages. Its characteristic signs include pelvic venous fullness syndrome and chronic pelvic pain, contributing to temporary disability and impaired reproductive function. While there are known surgical treatment methods for pelvic pain in PVI, they have numerous complications. Case presentation: A 39-year-old female patient presented with PVI and chronic pelvic pain, dysmenorrhea, and infertility. They underwent simultaneous combined reconstructiveplastic conservative surgical treatment under 3D laparoscopic video monitoring. Conclusion: The patient's treatment outcome was characterized by decreased pelvic pain, normalized menstrual function, and a long-awaited uterine pregnancy ending with the birth of a full-term baby. The two successively performed surgical treatment procedures had a cumulative therapeutic effect, relieving the patient's varicose pelvic pain due to various causes and restoring their reproductive function.
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