Bilateral laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome.
OBJECTIVE
To evaluate the efficacy and safety of bilateral laparoscopic transperitoneal ligation of the ovarian veins in women with symptomatic pelvic varices.


METHODS
Prospective pilot study performed in a small series (Canadian Task Force classification III).


METHODS
Urban hospital in Turin and University hospital in Cagliari, Italy.


METHODS
Twenty-three women.


METHODS
Bilateral laparoscopic transperitoneal ligation of the ovarian veins. The right ovarian vein was reached by incising posterior peritoneum below the mesentericoparietal fossa in all women. The left ovarian vein was reached by reflecting medially the left colon in 10 women and by incising the posterior peritoneum covering the aorta 2 cm below the inferior duodenal fold in 13.


RESULTS
After the plateau of the learning curve was reached, average operating time was about 60 minutes without complications. Complete remission of pain and absence of pelvic varicosities lasted for 12 months.


CONCLUSIONS
The laparoscopic transperitoneal paraaortic approach to bilateral ligation of ovarian veins near their origin could be a new treatment option for pelvic congestion syndrome.
Gargiulo
Tigellio
T
Department of Obstetrics and Gynecology, Maria Vittoria Hospital, Torino.
Mais
Valerio
V
Brokaj
Lindita
L
Cossu
Ester
E
Melis
Gian B
GB
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D010053:Ovary / Q000098:blood supply*; D010388:Pelvis / Q000098:blood supply*; D010865:Pilot Projects; D011446:Prospective Studies; D016896:Treatment Outcome; D014505:Urban Population; D014648:Varicose Veins / Q000601:surgery*; D014680:Veins / Q000601:surgery*