Remote results of the nutcracker syndrome surgical treatment

Authors

  • I. I. Kobza Danylo Halytskyi Lviv National Medical University
  • I. R. Nesterenko Ivano- Frankivsk National Medical University
  • V. L. Nesterenko Ivano- Frankivsk National Medical University
  • A. T. Kikhtiak Lviv Regional Clinical Hospital
  • L. Yu. Hrechukh Lviv Regional Clinical Hospital

DOI:

https://doi.org/10.11603/2414-4533.2019.4.10717

Keywords:

aorta mesenteric compression, critical stenosis of left renal vein, the left renal vein reimplantation

Abstract

The aim of the work: to evaluate the remote results in the surgical treatment of the nutcracker syndrome.

Materials and Methods. 146 patients with suspected nutcracker syndrome (pain in the left lumbar region, hematuria, left sided varicocele in men, and pudendal varicosity in women) underwent the examination from 1999 to 2019. The patients’ age ranged from 14 to 34 years. All patients underwent color Doppler ultrasonography to define the presence of pathological refluxes in the left renal and gonadal veins with the measurement of peak systolic velocity. According to color Doppler ultrasonography, different degree of aorta mesenteric compression was confirmed in 81 (55.4 %) patients, 11 patients with critical stenosis underwent the left renal vein reimplantation.

Results and Discussion. Assessment of the effectiveness of the left renal vein reimplantation in the remote postoperative period (from 6 to 20 years): 8 patients underwent ultrasound control examination of the reconstruction site, restenosis was not detected in 4 patients, hemodynamically insignificant stenosis of the left renal vein (less than 50 %) without venous outflow impairment was noted in 4 patients. All of the examined patients indicated disappearance of the pain in the left lumbar region, disappearance of hematuria, recurrence of varicocele was not observed in all patients.

References

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Published

2020-01-11

How to Cite

Kobza, I. I., Nesterenko, I. R., Nesterenko, V. L., Kikhtiak, A. T., & Hrechukh, L. Y. (2020). Remote results of the nutcracker syndrome surgical treatment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 89–94. https://doi.org/10.11603/2414-4533.2019.4.10717

Issue

No. 4 (2019)

Section

EXPERIENCE OF WORK

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