Laparoscopic approach in the ovarian vein syndrome

Abstract

Introduction: The main objective of this article is to describe ureterolysis and ovarian vein resection laparoscopic technique.Surgical technique: With the patient in a 45 o flank position, 3 trocars are used, 1 of 12 mm in the umbilicus for the optic passage, and 2 of 5 and 10 mm inserted in right hypochondrium and iliac fossa, respectively, for the forceps and stapler passage. The ureter and ovarian vein are identified after the mobilization of the colon. Both structures are dissected, with one ovarian vein segment is resected between metallic clips.Comments: the ureteral approach by transperitoneal laparoscopy and colon mobilization facilitates its dissection, identify its relation to other structures, as well as making possible the concomitant treatment of gynecological diseases. For the ovarian syndrome treatment, ureterolysis and ovarian vein resection are performed, using only 3 trocars. Owing to its simplicity, low morbidity, and good results obtained, this procedure represents a good option for the surgical management of this syndrome.

Laparoscopic treatment of ovarian vein syndrome: A case series

“…The computed tomography angiography revealed the crossing ovarian vein and excludes other causes of ureteral compression such as tumor compression retroperitoneal fibrosis [8].…”

“…The symptoms appear frequently in multiparous women, but have been also described in nulliparous women and children [2,[8][9][10][11][12]. The clinical features have no specificity including an acute or chronic lumbar pain, recurrent urinary tract infection, and frank hematuria [2,9,13].…”

The Potential of Hybrid Technologies for the Treatment of the Pelvic Congestion Syndrome

“…До настоящего времени патофизиологическая сущность этого явления до конца не ясна. На протяжении последних 50 лет в медицинской литературе встречаются единичные сообщения об этой патологии, количество наблюдений обычно колеблется в пределах 1-10 больных [20][21][22]. R. Wang и соавт.…”

“…В медицинской литературе представлены редкие случаи комбинации синдромов Мея-Тернера и тазового венозного полнокровия, правостороннего либо левостороннего уретероовариального конфликта и СТВП [3,8,9]. Мы представляем случай сочетания синдромов Мея-Тернера, правой гонадной вены и тазового венозного полнокровия, успешно излеченный благодаря применению гибридных технологий, а именно -сочетанию эндоваскулярных и эндоскопических лечебных методик.…”

Testicular Vein Syndrome and Its Treatment with a Laparoscopic Approach

“…1–3 This has been performed with the open approach. Further, although successful pure laparoscopic transperitoneal or retroperitoneal and robot-assisted laparoscopic approaches have been described for OVS, 10,11,13,14 such a minimally invasive approach has yet to be shown to be effective and safe for TVS. We believe that the main reason for this is the extreme rarity of this clinical entity and thus the paucity of cases.…”