Picores en la vulva
By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Abstract Objective Vulvar varicosity is a relatively common venous disorder in women with varicose veins of the pelvis and lower extremities and in pregnant women, but there is little information in the medical literature concerning its diagnosis and management.
The aim of this study was to describe our experience with women with vulvar varicosities who were examined and treated at our center during — Patients and methods Patients were divided into two groups: group 1 with picofes women with varicose veins of the pelvis and enlarged vulvar veins, and group 2 with 40 pregnant women 11—38 weeks of pregnancy with vulvar varicosities.
Results In most cases, vulvar varicosities were able to be diagnosed at clinical examination. In both groups, duplex ultrasound of the veins of the pelvis and lower extremities was used to confirm the presence of varicose veins, identify any retrograde flow, accurately determine vein diameter, and to reveal any anatomical feature of the intrapelvic veins. Treatment approaches varied significantly vulvars the two groups from purely conservative measures during pregnancy to surgical procedures on the ovarian and vulvar veins in group 1.
The venoactive agent, micronized purified flavonoid fraction, was effective at reducing the symptoms of vulvar varicosities in both groups. Conclusion A tailored approach to the diagnosis and treatment of vulvar varicosities can significantly improve the quality of care of women with this disorder. They may also cause psychoemotional and family problems.
The anatomical basis pcores the development of vulvar varicosities relates to the connections between the veins of the pelvis and external genitals. The veins of the labia majora and labia minora anastomose with the uterovaginal plexus.
In addition, the connection to the pelvic veins is provided via the obturator vein and superficial circumflex iliac vein, as well as the groin, clitoral, and perineal perforant veins. It is clear from a review of these anatomical connections that surgery on ovarian veins resection, embolization will have no effect on the dilated vulvar veins.
Only a reduction in blood flow in picores vulvares tributaries of the internal iliac vein will lead to the elimination of pelviperineal venous reflux and the disappearance of vulvar varicosity.
There is a paucity of information in the medical literature on the diagnosis and management picores vulvares vulvar varicosities.
The aim of this prospective study was to describe our observations of this condition and to develop a diagnostic and therapeutic approach to vulvar varicosities in various clinical settings. Materials and methods A total of women with vulvar varicosities mean age The total follow-up period was 8 years mean 5.
Patients were divided into two groups: group 1 with 61 women with varicose veins of the pelvis and enlarged vulvar veins, and group 2 with 40 pregnant women 11—38 picores vulvares of pregnancy with vulvar varicosities.
The scope of examination, as well as treatment approaches and methods, varied significantly between the two groups.
The study was approved by the ethics committee of Pirogov. All patients provided written consent for vuovares publication of their images and records. Statistical analyses were performed using Statistica 6. Group 1 In addition to a clinical and gynecological examination, all patients underwent duplex ultrasound of the veins of the pelvis and lower extremities.
Ultrasonography is indicated not only to confirm the presence of varicose veins but also to identify any retrograde flow, accurately determine vein diameter, and reveal any anatomical features of the intrapelvic veins.
It was used to examine the veins of the labia majora, estuarine tributaries of the great saphenous vein and its trunk, vulvaes connections between these vessels. Pelvic veins examined included the vaginal, uterine, picors, ovarian, iliac, and renal veins and inferior vena cava.