• Pelvic varices in paediatric surgical practice: current state of the problem

Pelvic varices in paediatric surgical practice: current state of the problem

PAEDIATRIC SURGERY.2016.3-4(52-53):81-89; doi 10.15574/PS.2016.52-53.81 
 

Pelvic varices in paediatric surgical practice: current state of the problem 
 

Shevchuk D. V., Bilochenko A. M., Shevchuk L. V.

Communal Healthcare Institution Zhytomyr Regional Children’s Clinical Hospital, Ukraine

Shupyk National Medical Academy of Post Graduate Education, Kyiv, Ukraine

Zhytomyr Ivan Franko State University, Ukraine

Communal Healthcare Institution Zhytomyr Central City Hospital No. 1, Ukraine

Private Hospital “Medibor”, Zhytomyr, Ukraine


Considering that there are no official statistic data concerning the prevalence rate of pelvic varicose veins and clear diagnostic and treatment criteria of above mentioned disease and, besides, a presence of evidence-based negative impact of pelvic varices on internal sex organs in women of reproductive age, a detailed study of pelvic congestion syndrome in paediatric practice is required. Moreover, well-informed physicians ensure early diagnostics and efficient treatment, which will permit to reduce the frequency of an unnecessary laparotomy in the case of abdominal pains in girls. Thus, it is necessary to discuss the wider application of the minimally invasive surgery techniques in treatment of abdominal pains in girls.


Key words: pelvic varices, laparoscopy, girls, dysuria.


References

1. Pavlenko NI, Pisklakov AV, Medyannikova IV, Barinov SV. 2015. Modern approach for diagnosis and treatment of ovaricocele in adolescent girls. Fundamental research. 1: 1401-1404. http://fundamental-research.ru/ru/article/view?id=37979.

2. Pykov MI, Mamedova FSh, Ovchinnikov VI. 2006. Varicose Phlebectasia of a Small Pelvis in Girls of the Pubertal Age. Ultrasound and Functional Diagnostics. 5: 54-64.

3. Cherepanova MA. 2011. Diagnostic and treatment of pelvic varicosity in female. M: 168.

4. Labropoulos N, Jasinski PT, Adrahtas D, Gasparis AP, Meissner MH. 2016, Oct 31. A standardized ultrasound approach to pelvic congestion syndrome. Phlebology First Published. doi 10.1177/0268355516677135.

5. Pacheco KG, Fortes R. 2014. Pregnancy after Sclerotherapy and Embolization of Ovarian Varicose Veins in a Patient with Infertility and Deep Endometriosis. Gynecol Obstet (Sunnyvale). 4(12): 258. https://doi.org/10.4172/2161-0932.1000258.

6. Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. 1996. Chronic pelvic pain: prevalence, health-related of life, and economic correlates. Obstetrics and gynecology. 87(3): 321-7. PMID: 8598948. https://doi.org/10.1016/0029-7844(95)00458-0

7. Grygorenko AM. 2012. Varicose veins in the pelvic-hospital gynecological pathology. Tavric medical-biology Issue. 15(2): 77-79.

8. Pacheco KG, de Oliveira MRF. 2016. The Prevalence of Ovarian Varices in Patients with Endometriosis. Annals of Vascular Surgery. 34: 135–143. https://doi.org/10.1016/j.avsg.2015.12.027; PMid:27177709

9. Mamedova FS. 2006. Ultrasound diagnosis of varicose pelvis veins in adolescent girls. M: 87.

10. Pavlenko NI. 2016. An integrated approach in the diagnosis and surgical treatment of varicose ovarian veins in adolescent girls. Omsk: 21.

11. Barinov SV, Pavlenko NI, Pisklakov AV. 2016. Varicose ovarian veins in adolescent girls as a cause heavy menstruation and chronic pelvic pain syndrome of pubertal period. In: Proceeding II scientific-practical conference with international participation «national and international experience in the reproductive health of children and adolescents». 2016б Apr 26–29. М. PMCid:PMC4851827

12. Park SJ, Lim JW, Ko YT, Lee DH, Yoon Y, Oh JH, Lee HK, Huh CY. 2004. Diagnosis of Pelvic Congestion Syndrome Using Transabdominal and Transvaginal Sonography. AJR. 182: 683-688. PMID: 14975970; https://doi.org/10.2214/ajr.182.3.1820683.

13. Gasparini D, Geatti O, Orsolon PG, Shapiro B. 1998. Female «varicocele»: two cases diagnosed by labeled red blood cell angioscintigraphy and treated by percutaneous phlebography and embolization. Clin Nucl Med. 23(7): 420-422. https://doi.org/10.1097/00003072-199807000-00004; PMid:9676944

14. Nascimento AB, Mitchell DG, Holland G. 2002. Ovarian Veins: Magnetic Resonance Imaging Findings in an Asymptomatic Population. Journal of magnetic resonance imaging. 15: 551–556.

https://doi.org/10.1002/jmri.10098.

15. Rozenblit AM, Ricci ZJ, Tuvia J, Amis ES Jr. 2001. Incompetent and Dilated Ovarian Veins: A Common CT Finding in Asymptomatic Parous Women. AJR. 176(1): 119-122. https://doi.org/10.2214/ajr.176.1.1760119

16. Pournasiri Z. 2016. The Nutcracker Syndrome as a Rare Cause of Chronic Abdominal Pain: A Case Report. Journal of Comprehensive Paediatrics. 7(3): e39741; https://doi.org/10.17795/compreped-39741.

17. Ferreira M, Lanziotti L, Abuhadba G, Monteiro M, Capotorto L, Spicacci JL. 2008. Chronic pelvic pain: the role of the nutcracker syndrome. J Vasc Bras. 7(1): 76-9. https://doi.org/10.1590/S1677-54492008000100014.

18. Burnand K, Lahiri R, Petridou E et al. 2011. Varicosities in an adolescent girl on laparoscopy: an unusual presentation of May–Thurner syndrome. Pediatr Surg Int. 27: 1371. https://doi.org/10.1007/s00383-011-2917-1.

19. Neymark AI, Shelkovnikova NV. 2012. Endovascular treatment of persistent dysuria and chronic pelvic pain when varicose veins of pelvis in women. Urology. 4: 20-24.

20. Wassong C, Shah B, Kanayama M et al. 2012. Radiologic findings of pelvic venous congestion in an adolescent girl with angiographic confirmation and interventional treatment. Pediatr Radiol. 42(5): 636-640. https://doi.org/10.1007/s00247-011-2232-y.

21. Borahay MA, Kilic GS, Haver MC. 2012. Abnormal uterine bleeding after ovarian vein embolotherapy for pelvic congestion syndrome: Case report and review of literature. Asian Pacific Journal of Reproduction. 1(1):60-62. https://doi.org/10.1016/S2305-0500(13)60049-4.

22. Pisklakov AV, Pavlenko NI, Shakhoval VS, Barinov SV. 2012. Laparoscopy in chronic pelvic pain syndrome in girls. The Russian Bulletin of pediatric surgery, anesthesiology and critical care medicine. 1: 60-63.

23. Zhuk SI, Grygorenko AM, Shliakhtina AO. 2016. Etiopathogenetic approach to conservative treatment of varicose veins of small pelvis in women. Health of Women. 5(111): 52-57.

24. Grygorenko AM, Chachuga SB, Selen GA. 2015. Surgical treatment ovaricovaricocele III degree with the minimum in women of reproductive age. Health of Women. 3(99): 53-55.

25. Slyvka EV. 2016. Diagnosis and treatment of luteal insufficiency in women with varicose veins of the reproductive organs of pelvis. Vinnytsia: 28