scholarly journals Advances of Laparoscopy for the Diagnosis of Pelvic Congestion Syndrome

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1041
Author(s):  
Christos Arnaoutoglou ◽  
Rita S. Variawa ◽  
Paul Zarogoulidis ◽  
Aris Ioannidis ◽  
Nikolaos Machairiotis
Keyword(s):  
Chronic Pelvic Pain ◽  
High Accuracy ◽  
Reproductive Age ◽  
Diagnosis And Treatment ◽  
Hormonal Changes ◽  
Effective Algorithm ◽  
Promising Technique ◽  
Women Of Reproductive Age ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

The objective of this review is to describe the effectiveness of laparoscopy in the diagnosis and treatment of pelvic congestion syndrome (PCS). PCS is a cause of chronic pelvic pain (CPP) and is associated with dysfunction of the pelvic venous system. PCS is more common in women of reproductive age, and hormonal changes are associated with its development along with other reasons (e.g., working and living habits). There is an urgent need to establish an effective algorithm for the diagnosis and treatment of CPP, which could have a dramatic effect in patients’ everyday life. This algorithm should be able to overcome known issues that lead to the underdiagnosis of PCS, such as the overlap of its symptoms with other diseases. Here, we present our findings from literature articles about the methods used in practice today for the diagnosis of this syndrome. We also compare the methods to propose the most promising technique for providing a diagnosis with high accuracy. In our understanding, laparoscopy is superior when compared to other methods. It can provide a diagnosis of PCS while excluding or identifying other comorbidities and can also lead toward the next steps for the treatment of PCS.

Etiopathogenetic Approach to Conservative Treatment of Pelvic Congestion Syndrome

2016 ◽  
pp. 52-57
Author(s):  
S.I. Zhuk ◽  
◽  
A.N. Grigorenko ◽  
A.A. Shluakhtina ◽  
◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Clinical Laboratory ◽  
Varicose Veins ◽  
Dynamic Balance ◽  
Blood Rheology ◽  
Reproductive Age ◽  
Complex Treatment ◽  
Women Of Reproductive Age ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

Aim of research is clinical, laboratory and instrumental evaluation of efficiency of proposed pathogenetic conservative treatment for Pelvic Congestion Syndrome in women of reproductive age. Complex treatment consisted of oral use of diosmin, chondroitin sulfate for 6 months and physiotherapy. The results of the study suggest that proposed treatment is effective enough. It provides recovery of varicose veins endothelium functions, dynamic balance between vasodilatory and vasoconstrictor factors, normalization of blood rheology and metabolic processes in connective tissue. Key words: Pelvic Congestion Syndrome, conservative treatment, venotonic therapy.

scholarly journals Pelvic Congestion Syndrome: Diagnosis and Treatment

2008 ◽  
Vol 25 (04) ◽  
pp. 361-368 ◽  
Author(s):  
Elizabeth Ignacio ◽  
Ruchika Dua ◽  
Shawn Sarin ◽  
Amy Harper ◽  
Douglas Yim ◽  
...  
Keyword(s):  
Diagnosis And Treatment ◽  
Pelvic Congestion Syndrome ◽  
Syndrome Diagnosis ◽  
Pelvic Congestion

scholarly journals The role of the immune response in the etiopathogenesis of endometriosis

2021 ◽  
Vol 68 (1) ◽  
pp. 40-47
Author(s):  
Catalina Diana Stanica ◽  
◽  
Adrian , Neacsu ◽  
Romina Marina Sima ◽  
Raluca Gabriela Ioan ◽  
...  
Keyword(s):  
Immune Response ◽  
Chronic Pelvic Pain ◽  
Economic Consequences ◽  
Reproductive Age ◽  
High Morbidity ◽  
Women Of Reproductive Age ◽  
Cytokines And Chemokines ◽  
Altered Immune Response

Endometriosis is a benign, chronic, estrogen-dependent condition, present in 10% of women of reproductive age. The condition is associated with chronic pelvic pain and infertility that influence their quality of life, as well as married life and has important socio-economic consequences. Despite its high morbidity, its etiopathogenesis is incompletely known. A large number of studies suggest that the ability of endometrial implants to grow in ectopic locations may be correlated with the altered immune response towards the endometriotic tissue. There are enough data to show that immune system mediators, such as cytokines and chemokines, are playing key roles in the onset and olso on progression of endometriosis. There are studies that prove the association between endometriosis and autoimmune diseases. The present paper aims to investigate the implications of the immune response in the etiopathogenesis of endometriosis. The study of cellular or humoral immunity deficits, the presence of autoantibodies associated with this condition, can facilitate the understanding of the mechanisms that lead to the appearance and spread of endometriosis. We hope that this information will ultimately provide the basis for the development of new effective approaches in endometriosis management.

Diagnostic imaging of pelvic congestive syndrome

2015 ◽  
Vol 30 (1_suppl) ◽  
pp. 67-72 ◽  
Author(s):  
CWKP Arnoldussen ◽  
MAF de Wolf ◽  
CHA Wittens
Keyword(s):  
Chronic Pelvic Pain ◽  
Lower Abdominal Pain ◽  
Clinical Suspicion ◽  
Venous Disease ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Vein ◽  
Interventional Imaging ◽  
Surgery Department ◽  
Vein Insufficiency ◽  
Pelvic Congestion

Many female patients are affected by chronic pelvic pain and a significant number of referrals to the gynecology department result in a clinical suspicion of pelvic congestion syndrome. Additionally, patients referred to the vascular surgery department for venous disease can also present with complaints of a persistent dull lower abdominal pain in addition to typically distributed leg varicosities (that extend from the leg through the pelvic floor) which should be evaluated for the presence of pelvic congestion syndrome. In this article, we focus on imaging pelvic vein insufficiency and related (extending) varicosities: how should we evaluate the pelvic veins, what are the signs to look for, and what are the currently established criteria for (pre-interventional) imaging.

scholarly journals Adolescent endometriosis

2017 ◽  
Vol 6 (8) ◽  
pp. 3213
Author(s):  
Meenu P. Nanthakumar ◽  
Sendhil C. Arumugam
Keyword(s):  
Adverse Effects ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Surgical Options ◽  
Reproductive Age Group

Endometriosis is predominantly a disease of women of reproductive age group. Endometriosis is not uncommon in adolescents. Presentation tends to focus on pain, especially intractable dysmenorrhea and chronic pelvic pain. In around 60% of patients with endometriosis symptoms start in adolscence. Pain unresponsive to treatment is the usual indication for a Laproscopy. The appearance of endometriotic lesions is different from that of adults. Medical and surgical options for treatment are available. Endometriosis may be progressive and adverse effects may go beyond pain and cause infertility.

scholarly journals Laparoscopic findings in chronic pelvic pain

2013 ◽  
Vol 1 (2) ◽  
pp. 100-102
Author(s):  
J Bajracharya ◽  
NS Shrestha ◽  
C Karki ◽  
R Saha
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Diagnostic Laparoscopy ◽  
Multidisciplinary Approach ◽  
College Teaching ◽  
Reproductive Age ◽  
Medical College ◽  
Laparoscopic Finding ◽  
Reproductive Age Group ◽  
Pelvic Congestion

Background: Chronic pelvic pain is a common problem in reproductive age group women. Diagnosis of chronic pelvic pain needs multidisciplinary approach. Diagnostic laparoscopy is one of the investigations which can help in reaching the diagnosis. Objective: To know the etiology in chronic pelvic pain. Methods: This was a descriptive study done in the Department of Obstetrics and Gynaecology of Kathmandu medical college teaching hospital from January 2010 to June 2012 (30 months). All the cases of laparoscopic surgery done for chronic pelvic pain were noted and details of these cases were analyzed regarding age, parity and laparoscopic findings. Results: Total 48 cases of Chronic Pelvic Pain underwent diagnostic laparoscopy during the study period. Mean age of cases were 33 years, ranging from 20-46yrs. Almost half of the cases 43.75% were of parity two. Laparoscopic finding was negative in 29.17% and pelvic pathology was present in 70.83% of the cases. Out of the pelvic pathology endometriosis was present in 55.88% followed by pelvic adhesions, pelvic congestion and pelvic inflammatory disease, chronic ectopic in 20.58%, 14.70%, 5.88%, 2.94% respectively. Conclusion: Diagnostic laparoscopy is a useful modality in the diagnosis of etiology and management of Chronic pelvic pain. In our study, Pelvic endometriosis was the most common pelvic pathology in cases of Chronic pelvic pain. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8146 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 100-102

scholarly journals Laparoscopy in the diagnosis and treatment of chronic recurrent salpingo-oophoritis

2005 ◽  
Vol 54 (5S) ◽  
pp. 34-34
Author(s):  
G. Zh. Bodykov ◽  
А. Т. Raisova ◽  
N. Р. Dolinskaya
Keyword(s):  
Young Women ◽  
Reproductive Age ◽  
Diagnosis And Treatment ◽  
Women Of Reproductive Age ◽  
Significant Impairment ◽  
Persistent Disability ◽  
Chronic Course

The relevance of the problem under study is due to an increase in gynecological morbidity rates, especially an increase in salpingo-oophoritis, characterized by a chronic course, frequent recurrence, severity of consequences and significant impairment of specific functions with persistent disability in young women of reproductive age.

Compression treatment of pelvic congestion syndrome

2017 ◽  
Vol 33 (6) ◽  
pp. 418-424 ◽  
Author(s):  
SG Gavrilov ◽  
AV Karalkin ◽  
OO Turischeva
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Clinical Manifestations ◽  
Class Ii ◽  
Emission Computed Tomography ◽  
Compression Stockings ◽  
Pelvic Congestion Syndrome ◽  
Compression Treatment ◽  
Positive Effect ◽  
Pelvic Congestion

Aim To study the influence of compression treatment on clinical manifestations and venous hemodynamics of the pelvis in patients with pelvic congestion syndrome. Materials and methods A prospective study of the various options and modes of compression treatment was carried out and included 74 patients with pelvic congestion syndrome in 2008–2015. The patients were divided into three groups. The first group consisted of 48 patients with symptoms of pelvic congestion syndrome and chronic pelvic pain. They used Class II compression shorts. In the second group, there were 14 patients with pelvic congestion syndrome, vulvar varicosities without pelvic pain. They used Class II compression shorts and stockings. In the third group, 12 women with pelvic congestion syndrome and chronic pelvic pain used only the Class II compression stockings. The treatment continued for 14 days. A clinical criterion was the change of severity of chronic pelvic pain. The evaluation of the treatments has been performed using radionuclide venography and emission computed tomography with labeled in vivo red blood cells. Results Group 1: The compression shorts had a positive effect on the disease in 81.3% of patients. Chronic pelvic pain decreased from 6.4 ± 1.6 to 1.2 ± 0.7 points. The coefficient of pelvic congestion syndrome (Cpcs) decreased from 1.73 ± 0.32 to 1.12 ± 0.27 (p < 0.05). In 18.8% of patients, no positive effect was observed. Group 2: The results of radionuclide venographyshowed accelerating outflow of blood from the lower limbs and reduction of insufficiency of perforating veins. Mean radionuclide transit time decreased in all patients in the tendon, muscle pump parts, popliteal vein and was respectively: 23.6 ± 2.2 s, 29.6 ± 3.4 s, 32.3 ± 4.2 s and after treatment 16.4 ± 3.1 s, 22.1 ± 2.5 s, 25.7 ± 1.9 s (p < 0.05). Group 3: The use of compression stockings class II on the clinical manifestations of pelvic congestion syndrome in the patients. Cpcs also remained unchanged. Conclusion Research has shown the efficiency of class II compression shorts in the treatment of patients with isolated extension of intrapelvic venous plexuses. Class II compression stockings do not have any impact on the clinical manifestations of pelvic congestion syndrome.

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