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Re: Pelvic Vein Congestion From: Bernard Cristalli (bcrist@club-internet.fr) Fri May 8 02:54:12 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe: "Medscape Virtual Consult" Previous message: Bernard Cristalli: "Re: Familiar risk of breast cancer" Maybe in reply to: Mark Perloe, M.D.: "Pelvic Vein Congestion" Next in thread: Dr Mangeshikar: "Re: Pelvic Vein Congestion" Reply: Dr Mangeshikar: "Re: Pelvic Vein Congestion" Mark Perloe, M.D. wrote: > > Recently a 31 yo g1p1 female with luteal phase pelvic pain had a diagnostic > laparoscopy where the only findings were dilated pelvic sidewall veings. > The appearance was similar to that seen with a varicocele. Unfortunately, I > did not do pain mapping with conscious sedation. > > In the past, hysterectomy was recommended for pelvic congestion syndrome. > Is this a real cause of pelvic pain, and what can be done? -- In those severe pelvic pains (severe enough to have a laparoscopy), if there is no other abnormality I perform a Pellanda procedure (or Doleris-Pfannenstiel) through laparoscopy. This procedure was created to correct retroversions but does work too if pelvic varices are alone. Another solution has been described: create a peritoneal fibrosis with laser impacts along the veins; some kind of vein contention. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: DoctorJoe: "Medscape Virtual Consult" Previous message: Bernard Cristalli: "Re: Familiar risk of breast cancer" Maybe in reply to: Mark Perloe, M.D.: "Pelvic Vein Congestion" Next in thread: Dr Mangeshikar: "Re: Pelvic Vein Congestion" Reply: Dr Mangeshikar: "Re: Pelvic Vein Congestion"

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