Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service district general hospital

@article{Marsh2009PelvicVR,
  title={Pelvic vein reflux in female patients with varicose veins: comparison of incidence between a specialist private vein clinic and the vascular department of a National Health Service district general hospital},
  author={Petra Marsh and J. M. Holdstock and C Harrison and Connie Smith and Barrie A Price and Mark S. Whiteley},
  journal={Phlebology},
  year={2009},
  volume={24},
  pages={108 - 113}
}
Objectives Mounting evidence suggests that pelvic vein reflux is an important contributing factor to recurrent varicose veins. We compared the incidence in our specialist private unit (Unit A) with that of a District General Hospital (Unit B). Methods Results of all female patient lower limb duplex ultrasound (LLDUS) and transvaginal pelvic ultrasound (TVUS) scans performed over a one-year period were retrospectively reviewed. Patients with refluxing veins emanating from the abdomen or pelvis… Expand
Pelvic venous reflux is a major contributory cause of recurrent varicose veins in more than a quarter of women.
TLDR
A duplex ultrasound protocol, incorporating a transvaginal duplex examination of the ovarian and internal iliac veins, should be adopted for the investigation of pelvic venous reflux in female patients presenting with symptomatic leg varicose veins with duplex-observed reflux entering the leg vein pattern from the pelvis. Expand
Commentary on pelvic venous reflux in males with varicose veins and recurrent varicose veins
TLDR
The current study tries to dispel the idea that only women develop lower extremity varicosities from a pelvic venous source but also details the refluxing venous anatomy in the male patient by analyzing a group of male patients who presented with lower extremities attributable to a pelvic source. Expand
Haemorrhoids are associated with internal iliac vein reflux in up to one-third of women presenting with varicose veins associated with pelvic vein reflux
TLDR
There is a strong association between haemorrhoids and internal Iliac vein reflux and treatment with methods proven to work in conditions caused by pelvic vein incompetence, such as pelvic vein embolisation and foam sclerotherapy could be considered. Expand
Determining the origin of superficial venous reflux in the groin with duplex ultrasound and implications for varicose vein surgery.
TLDR
Reflux in the SFJ does not involve the TV in 24.8% of the legs, implying that routine high ligation and ablation close to the TV might be overtreatment in these patients, and the reflux had its origin exclusively in the common femoral vein. Expand
Clinical presentation of women with pelvic source varicose veins in the perineum as a first step in the development of a disease-specific patient assessment tool.
TLDR
Women with pelvic source varicose veins are a unique subset of patients that are younger and thinner than those with nonpelvic source varICose veins, have larger infants than the general U.S. population, and have an inverse correlation between age and pain. Expand
Clinical Presentation of Women with Pelvic Source Varicose Veins in the Perineum: First Steps in the Development of a Disease-Specific Patient Assessment Tool.
TLDR
A disease-specific tool for the evaluation of pelvic source varicose veins is critically needed, and the revised Venous Clinical Severity Score (rVCSS) and 10-point numeric pain rating scale (NPRS) are evaluated. Expand
Pelvic venous reflux in males with varicose veins and recurrent varicose veins
TLDR
It is suggested that pelvic vein reflux should probably be investigated and pelvic vein embolisation considered in patients with bilateral lower limb varicose veins, as well as lower limb venous insufficiency in some males with leg varicOSE veins. Expand
Long-term results of transjugular coil embolisation for pelvic vein reflux – Results of the abolition of venous reflux at 6–8 years
TLDR
Transjugular pelvic vein embolisation is a durable technique for the abolition of reflux in the pelvic veins and is particularly adept at treating refluxIn the ovarian veins. Expand
Transvaginal duplex ultrasonography appears to be the gold standard investigation for the haemodynamic evaluation of pelvic venous reflux in the ovarian and internal iliac veins in women
TLDR
It is suggested that transvaginal duplex ultrasonography could be the gold standard in assessing pelvic vein reflux, as there is no accepted gold standard for pelvic vein incompetence. Expand
Ovarian Vein Diameter Cannot Be Used as an Indicator of Ovarian Venous Reflux.
TLDR
There is no significant difference between the diameters of competent and refluxing ovarian veins and, as such, techniques that measure vein diameter may not be suitable for the diagnosis of venous reflux in the ovarian veins. Expand
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