Abstract

CELIS-SALAS, Jhon Jairo; NARANJO-GALVEZ, Julio Hernando  and  TOVAR-CUEVAS, José Rafael. Open Surgery as of Pelvic Varicose Disease Management. Rev. Cienc. Salud [online]. 2014, vol.12, n.3, pp.331-338. ISSN 1692-7273.  https://doi.org/dx.doi.org/10.12804/revsalud12.03.2014.03.

Chronic pelvic pain is a frequent condition for health care outpatient visits, which may occur in up to 40 % of women, and that significantly affects quality of life. The pelvic congestion syndrome associated with varicose veins is an etiological factor of this disease, but there is little evidence describing the efficacy and safety of the open surgical technique. This study evaluates the clinical results of open surgery for the management of pelvic varicose veins. Material and Methods: A cross sectional study with 94 patients with gonadal varix, who underwent open surgery, was conducted. We evaluated the diagnostic test findings, intra operative findings, and postoperative evolution. Results: 85 % of patients had bilateral reflux, and 15 % unilateral reflux. Over 70 % reported pelvic pain for more than six months, dyspareunia, dysmenorrhea, and urinary symptoms. Statistically significant differences were found when comparing the diameters reported in the duplex, with those measured intra-operatively, specifically of right gonadal vein, both in patients with unilateral (p = 0.022) and bilateral reflux (p = 0.017). 92% of the patients showed improvement of symptoms after surgical treatment. Conclusions: The ovarian vein ligation by open surgery is a therapeutic alternative for the treatment of pelvic varicose veins, with results demonstrating significant symptomatic improvement. The duplex is a useful diagnostic method, although the diameter of the gonadal veins may be underestimated.

Keywords : Gonadal Varix; Chronic Pelvic Pain; Congestion Syndrome; Pelvic Open Surgery.

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