Features of surgical treatment of varicose veins of the inguinal canal in pregnant women
DOI:
https://doi.org/10.11603/2414-4533.2018.2.9189Keywords:
varicose veins of the inguinal canal, surgical treatment of inguinal varices in a planned manner, duplex scan of veins.Abstract
The aim of the work: development of indications for surgical treatment of inguinal varicose veins in pregnant women and evaluation of treatment results in conditions of short-term stay in a hosp ital.
Materials and Methods. On the basis of the communal facility “Regional Perinatal Center” of the Rivne Regional Council from the beginning of 2013 to February 2018, including the diagnosis of primary symptomatic varicose veins of the inguinal canal (PSVVIC) was established in 265 women. Isolated form of PSVVIC was diagnosed in 68 (25.66 %) pregnant women, combined forms were found in 197 (74.34 %) of pregnant women with veins in the basin of saphen veins, external genital organs, perineum. In the planned order, 48 (18.11 %) pregnant women with symptom of the PSVVIC in II–III trimes ters of pregnancy were operated.
Results and Discussion. The tactics of treatment of this pathology, depending on the form and distribution, have been developed and implemented. 48 (18.11 %) patients agreed to conduct surgical treatment of this pathology in the 2nd–3rd trimester of pregnancy: 21 (43.75 %) of women due to ineffective conservative therapy when the disease progressed clinically and spread; 18 (37.5 %) pregnant women for the purpose of preparing the natural birth line for delivery by natural means, with pronounced varicose veins of the external genitalia and perineum to reduce the risk of bleeding in the event of rupture of varicose nodes and narrowing of indications for surgical delivery; 9 (18.75 %) pregnant at their request to improve the cosmetic problems of the external genital organs and / or lower extremities caused by varicose veins in the absence of contraindications for intervention in the pregnant woman from the somatic and obstetric status.
References
Gavrilov, S.G., Butenko, O.I., & Cherkashina, М.А. (2003). Varikoznaya bolezn ven malogo taza: sovremennoye sostoyanie problemy [Varicose veins of the small pelvis: the current state of the problem]. Annaly khirurgii – Annals of Surgery, 1, 7-12 [in Russian].
Gavrilov, S.G., Sazhin, А .V., & Temirbolatov, М.D. (2017). Taktika lecheniya bolnykh sochetannoy varikoznoy boleznyu ven taza i nizhnikh konechnostey [Tactics of treatment of pa¬tients with concomitant varicose veins of the pelvic and lower ex¬tremities]. Flebologiya – Phlebology, 11 (3); 20-130 [in Russian]. DOI: 1017116/flebо2017113120-130(http://dx.doi.org/10.17116/ flebo2017113120-130.
Gavrilov, S.G., Кaralkin, А .V., & Vasilyev, V.E. (2012). Izolirovanyye khirurgichiskie vmeshatelstva na podkozhnykh ve¬nakh pri varikoznoy bolezni ven taza [Isolated surgical interven¬tions on the subcutaneous veins in varicose veins of the pelvis]. Flebologiya – Phlebology, 6 (2), 9-13 [in Russian].
Tsukanov, Yu.T., Kravchenko, Е.N., Krivorotov, I.А. (2013). Osobennosti klinicheskogo techeniya beremenosti i rodov u zhen¬shchin s varikozom vulv, vlagalishcha i promezhnosti [Features of the clinical course of pregnancy and childbirth in women with varicose veins of vulva, vagina and perineum]. Flebologiya – Phlebology, 2, 21-25 [in Russian].
Sukovatykh, B.S., & Sukovatykh, M.B. (2012). Patogeneticheskoe obosnovaniye mini invasivnogo lecheniya varikoznoy bolezni ven malogo taza [Pathogenetic substantiation of mini-in¬vasive treatment of varicose veins of small pelvis]. Novosti khirurgii – News of Surgery, 20 (1), 54-61 [in Russian].
Chi, C.A., Taylor, A., & Munjuluri, N. (2005). Diagnostic di¬lemma: round ligament varicosities in pregnancy. Acta Obstet. Gynecol. Scand., 8, 1126-1127.
Einarsson, E., Elkoff, B., & Neglen, P. (1993). Sclerography or surgery as treatment for varicose veins: a prospective randomized study. Phebology, 8, 22-26.
Ijpma, F.F., Boddeus, K.M., & de Haan, H.H. (2009). Bilateral round ligament varicosities mimicking inguinal hernia during pregnancy. Hernia, 13, 85-88.
Lafrati, M.D., Welch, H.J., & Donnenell, T.F.O. (1998). Sub¬fascial endoscopic perforator ligation: An fanalysis of early clini¬cal outcomes and cost. J. Vasc. Surg., 26, 991-995.
McKenna, D.A., Carter, J.T., & Poder, L. (2008). Round ligament varices: sonographic appearance in pregnancy. Ultrasound Obstet. Gynecol., 31, 355-357.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
