Haemodynamical aspects of the recurrence development of the lower extremities varicose veins in women–patients, suffering pelvic varicose veins

Abstract

Objective. To study up the haemodynamical mechanisms of the recurrence development of the lower extremities varicose veins in women–patients, suffering pelvic varicose veins.
 Маerials and methods. Analysis of the operative treatment results was conducted in 50 patients of reproductive age, in whom in 2012 – 2014 yrs endovenous laser ablation (ЕVLA) of large saphenous vein (LSV) was performed. In 3 patients the lower extremities varicosities recurrence was observed while the 3–year follow–up.
 Results. Reflux from internal iliac veins through v.obturatoria extends on v. pudenda externa and the LSV mouth. Because the LSV trunk is occluded after previously performed ЕVLA, the pathological reflux is drained into lateral branches – anterior additional vein or Giacomini vein. Some forms of primary extrasystemic varicosities of the lower extremities are developed in accordance to the same haemodynamical mechanisms.
 Conclusion. Pelvic venous reflux promotes the lower extremities varicosities in 6% patients (95%–trustworthy іnterval 1,1% – 14,4%) after ЕVLA in the 3 years follow–up period. While presence of the blood reflux into internal iliac veins the crossectomy performance is recommended with the objective to lower the occurrence risk for recurrence of the lower extremities varicosities in future.