Pelvic congestion syndrome: the usefulness of laparoscopic treatment
DOI:
https://doi.org/10.18597/rcog.554Keywords:
pelvis, varicocele, pelvic painAbstract
Objective: determining the usefulness of ligature of dilated ovarian vein by laparoscope in treating pelvic congestion syndrome.
Type of study: non-randomized controlled clinical trial.
Institution: Clínica Los Andes, Cali, Colombia.
Patients: 70 patients having a diagnosis of pelvic congestion syndrome confirmed by laparoscope.
Interventions: ligature of ovarian vein in 28 patients (experimental group) and medical management in 42 patients (control group).
Results: an improvement in managing pain related to pelvic congestion syndrome was observed in the experimental group after 6 months in 26 out of the 28 patients cf. 11 out of 42 patients in the control group (3.41 RR; 2.02-5.76 95%CI).
Comments: patients undergoing laparoscopic varicocelectomy had a greater probability of pelvic congestion syndrome becoming cured.
Author Biographies
Hernando Navarro
María Fernanda Escobar
Javier Fonseca
References
Coutier A, Noone A, Geldacre M. General practitioners’ referrals to specialist outpatient clinics. I. Why general practitioners refer patients to specialist outpatient clinics. BMJ 1989;299:304-6.
Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of live and economic correlates. Obstet Gynecol 1996;87:321-7.
Beard RW, Highmann J, Pearce J, Reginald PW. Diagnosis of pelvic varicosities in woman with chronic pelvic pain. Lancet 1984;2:946-9.
Beard RW, Reginald PW, Wadsworth J. Clinical features of women with chronic lower abdominal pain due to pelvic congestion. Br J Obstet Gynaecol 1988;95:153-61.
Perry CP. Current concepts of pelvic congestion and chronic pelvic pain. JSLS 2001;5:105-10.
Soysal ME, Soysal S, Vicdan K, Ozar S. A randomized controlled trial of goserelin and medroxyprogesterone acetate in the treatment of pelvic congestion. Hum Reprod 2001;16:931-9.
Beard RW, Kennedy RG, Gangar KF, Stones RW, Reginal PW, et al. Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion. Br J Obstet Gynecol 1991;98:988-92.
Edlundh KO. Pelvic varicosities in women: a preliminary report. Acta Obstet Gynecol Scand 1964;43:399-407.
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;1:339-41.
Venbrux AC, Lambert DL. Embolization of the ovarian veins as a treatment with chronic pelvic pain caused by pelvic venous incompetence (pelvic congestion syndrome). Curr Opin Obstet Gynecol 1999;11:395-9.
Maleux G, Stockx L, Wilms G, Marchal G. Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol 2000;11:859-64.
Venbrux AC, Chang AH, Kim HS, Montague BJ, Hebert JB, Arepally A, et al. pelvic congestion syndrome (pelvic venous incompetence): impact of ovarian and internal iliac vein embolotherapy on menstrual cycle and chronic pelvic pain. J Vasc Interv Radiol 2002;13:171-8.
Scultetus AH, Villavicencio JL, Gillespie DL, Kao TC, Richman NM. The pelvic venous syndromes: analysis of our experience with 57 patients. J Vasc Surg 2002;36:881-8.
Mathis BV, Miller JS, Lukens ML, Paluzzi MW. Pelvic congestion syndrome: a new approach to unusual problem. Am Surg 1995;61:1016-8.
Grabham JA, Barrie WW. Laparoscopic approach to pelvic congestion syndrome. Br J Surg 1997;89:1264.
Gómez G. Varicocelectomia por laparoscopia: descripción de una nueva técnica y su acción sobre el dolor pélvico. Med Reprod 1998;1:14-7.
Navarro H. Dolor pélvico crónico. En: Cifuentes R. Ginecología y obstetricia basadas en la evidencia. Bogotá: Editorial Distribuna; 2002. p. 659-70.
How to Cite
Downloads
Downloads
Published
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
