SOURCES OF FORMATION OF ATYPICAL FORMS OF PROGRESSIVE VARICOSE SAPHENOUS VEINS DISEASE IN PREGNANT WOMEN (VARICOSE VEINS OF THE INGUINAL CANAL) ACCORDING TO THE DATA OF DUPLEX SCANNING
DOI:
https://doi.org/10.11603/2415-8798.2017.2.7822Keywords:
causes of progressive varicose vein disease in pregnant women, varicose veins in the inguinal canal, duplex scanning of veins.Abstract
One of atypical forms of varicose veins is progressive varicose veins round ligament of the uterus, which occurs in 5 % of cases. It can be a separate disease that manifests imitation groin hernia and varicose veins as a source of external genitalia.
The aim of the study – active non-medicamentous prevention of progression of varicose veins of the inguinal canal and preventing complications during pregnancy, delivery and in puerperal periods by safe surgical correction of this pathology during pregnancy.
Materials and Methods. For the first time, a special attention was paid to the study of the anatomy of the veins, by duplex scanning, through which and of which venous pools a pathologic venous reflux (PVR) occurs leading to varicose veins of the external genitalia and inguinal canal.
Results and Discussion. The frequency of varicose veins of the inguinal canal was met in 11.2 % of examined patients, that is in 86 patients; in 24 (27.9 %) patients isolated varicose veins in this area was observed that did not spread beyond the inguinal canal (19 of them give birth for the first time), in 38 (44.2 %) patients varicose veins of the inguinal canal was combined with varicose veins of the external genitalia, i.e. it went beyond the inguinal canal through the external inguinal ring and created varicose veins of the external genitalia (32 of them had two or more deliveries), in 24 (27.9 %) cases it was combined with varicose saphenous veins of the lower extremities.
Conclusions. Duplex scanning is non-invasive method, does not cause iatrogenic complications from both the pregnant woman and the fetus. This study has provided most of the data needed for setting etiological diagnosis of varicose contributed to assess the dynamics of the process and choose a strategy for further treatment.
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