Possibilities of instrumental methods of diagnosis in choice of the treatment tactics in women–patients, suffering varicose dilation of the lower extremities and pelvic veins

Keywords: syndrome of pelvic plethora; nonsaphenous varicosis; phlebography; еmbolization

Abstract

Objective. To elaborate the algorithm for preoperative diagnosis of combined varicose dilation in the lower extremities (LE) and pelvis with the aim to select and use the elective planning of surgical treatment.

Маterials and methods. The results of examination of 301 women-patients of a reproduction age, suffering varicose dilation of the LE veins in a 2012 - 2017 yrs period, were analyzed.

Results. The elaborated algorithm application made possible to diagnose a pelvic varicosis with reflux in 14 women-patients, what was confirmed by results of phlebography.

Conclusion. Sensitivity of transvaginal ultrasound investigation in diagnosis of pelvic varicose constitutes 100%. Women-patients, complaining on pelvic pain, mostly have nonsaphenous varicosis.

Author Biographies

О. E. Shved, cientific–Practical Centre of Prophylactic and Clinical Medicine, Kyiv

Olena Shved MD, PhD, scientific department of miniinvasive surgery,
State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine", State Administration, Kyiv, Ukraine
tel.: 044-2546428; +380673216191
E-mail: enashved@ukr.net
ORCID ID: https://orcid.org/0000-0002-7652-9301

О. І. Nabolotnyi, Scientific–Practical Centre of Prophylactic and Clinical Medicine, Kyiv

Oleh Nabolotnyi MD, scientific department of miniinvasive surgery,
State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine", State Administration, Kyiv, Ukraine
Tel.: 044-2546428; +380978430155
E-mail: oleh.nabolotnyi@gmail.com
ORCID ID: https://orcid.org/0000-0002-4273-5799

Yu. М. Hupalo, Scientific-Practical Centre of Prophylactic and Clinical Medicine, Kyiv

Yurii Hupalo MD, PhD, scientific department of miniinvasive surgery,
State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine", State Administration, Kyiv, Ukraine
Tel.: 044-2546428; +380679367820
E-mail: uriy_gupalo@ukr.net
ORCID ID: https://orcid.org/0000-0002-9467-115X

V. G. Gurianov, Scientific-Practical Centre of Prophylactic and Clinical Medicine, Kyiv

Volodymyr Gurianov PhD, scientific department of health care, State Scientific Institution "Scientific and Practical Center for Preventive and Clinical Medicine", State Administration, Kyiv, Ukraine
Tel.: 044-2546428; +380506303941.
E-mail: i_@ukr.net
ORCID ID: https://orcid.org/0000-0001-8509-6301

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Published
2018-07-26
How to Cite
ShvedО. E., NabolotnyiО. І., HupaloY. М., & Gurianov, V. G. (2018). Possibilities of instrumental methods of diagnosis in choice of the treatment tactics in women–patients, suffering varicose dilation of the lower extremities and pelvic veins. Klinicheskaia Khirurgiia, 85(7), 51-55. https://doi.org/10.26779/2522-1396.2018.07.51
Section
General Problems of Surgery