ENDOVASCULAR EMBOLIZATION OF OVARIAN VEINS IN VARICOSE DISEASE OF THE SMALL-PELVIC VEINS

Shipovsky V.N., Kapranov S.A., Gavrilov S.G.
Chair of Faculty Surgery of the Therapeutic Department of the Russian State Medical University, Chair of Surgical Diseases of the Paediatric Department of the Russian State Medical University,
Moscow, Russia

Presented herein are therapeutic outcomes obtained in treatment of nineteen female patients suffering from varicose disease of the veins of the small pelvis. Based on the findings obtained by ultrasonographic, radionuclide and roentgenocontrast methods of investigation examination they were diagnosed with the syndrome of pelvic venous plethora. The indications for endovasal occlusion of the ovarian veins were the presence of the clinical signs of pelvic venous congestion, dilatation of and blood reflux along the gonadal veins based on the findings of instrumental methods of examination. It was determined that endovascular embolization of the gonadal veins in 84% of cases resulted in permanent relief of chronic pelvic pain.

KEY WORDS: varicose disease of the small-pelvis veins, pelvic venous plethora, endovascular embolization of gonadal veins.

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