title: Bilateral laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Maria Vittoria Hospital, Torino.
authors.forename: Tigellio
authors.initials: T
authors.lastname: Gargiulo
authors.forename: Valerio
authors.initials: V
authors.lastname: Mais
authors.forename: Lindita
authors.initials: L
authors.lastname: Brokaj
authors.forename: Ester
authors.initials: E
authors.lastname: Cossu
authors.forename: Gian B
authors.initials: GB
authors.lastname: Melis
mesh_terms: 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*