Bilateral Laparoscopic Transperitoneal Ligation of Ovarian Veins for Treatment of Pelvic Congestion Syndrome
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This paper describes a laparoscopic transperitoneal approach for bilateral ovarian vein ligation as a treatment for pelvic congestion syndrome.
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Abstract
Study objectiveTo evaluate the efficacy and safety of bilateral laparoscopic transperitoneal ligation of the ovarian veins in women with symptomatic pelvic varices.DesignProspective pilot study performed in a small series (Canadian Task Force classification III).SettingUrban hospital in Turin and University hospital in Cagliari, Italy.PatientsTwenty-three women.InterventionBilateral laparoscopic transperitoneal ligation of the ovarian veins. The right ovarian vein was reached by incising posterior peritoneum below the mesentericoparietal fossa in all women. The left ovarian vein was reached by reflecting medially the left colon in 10 women and by incising the posterior peritoneum covering the aorta 2 cm below the inferior duodenal fold in 13.Measurements and main resultsAfter the plateau of the learning curve was reached, average operating time was about 60 minutes without complications. Complete remission of pain and absence of pelvic varicosities lasted for 12 months.ConclusionThe laparoscopic transperitoneal paraaortic approach to bilateral ligation of ovarian veins near their origin could be a new treatment option for pelvic congestion syndrome.
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Cited by (24)
- Pelvic Venous Disorders: An Update in Terminology, Diagnosis, and Treatment 2023
- Successful treatment of pelvic venous incompetence by a single-stage combined laparoscopic intervention: A case report 2023
- Pelvic Pain Arising from Pelvic Congestion Syndrome 2021
- Evidence for Surgery for Pelvic Pain 2021
- Single site robotic-assisted laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome, a case report and review of literature 2018
- Pelvic vein incompetence: clinical perspectives 2017
- Diagnosis and treatment of pelvic congestion syndrome: Single-centre experiences 2017
- Surgical interventions for chronic pelvic pain 2016
- Chronic Pelvic Pain: An Overview 2013
- Pelvic congestion syndrome 2013
- Várices pélvicas y síndrome de congestión pélvica en la mujer Pelvic varicocele and pelvic congestion syndrome in woman 2012
- Pelvic Congestion Syndrome: A Review of Current Diagnostic and Minimally Invasive Treatment Modalities 2012
- Management of Chronic Pelvic Pain 2011
- Pelvic Congestion Syndrome-Associated Pelvic Pain: A Systematic Review of Diagnosis and Management 2010
- Surgical interventions for the management of chronic pelvic pain in women 2010
- Pelvic Congestion Syndrome 2008
- Gonadal Vein Embolization: Treatment of Varicocele and Pelvic Congestion Syndrome 2008
- Ovarian vein incompetence: a potential cause of chronic pelvic pain in women 2008
- Chronic pelvic pain: A challenge 2007
- Pelvic Congestion Syndrome 2006
- Pelvic Pain: Overlooked and Underdiagnosed Gynecologic Conditions 2005
- Investigations for chronic pelvic pain 2005
- Ovarian Varices in Healthy Female Kidney Donors: Incidence, Morbidity, and Clinical Outcome 2002
- Pelvic Congestion Syndrome 2002
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