Should pelvic congestion syndrome need to be digitalized to remove the background?

The article is professionally consulted by Master, Doctor Le Hong Chien - Doctor of Radiology - Intervention - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International General Hospital. The doctor has many years of experience working in the field of diagnostic imaging and interventional radiology (endovascular intervention and extravascular intervention).

Chronic pelvic pain in women is an unpleasant manifestation of ovarian varicose veins. The disease can be treated by many different methods, in which digital imaging and eradication of the ovarian varices are a minimally invasive but highly effective intervention.

Varicose veins of the ovary is defined as the venous system dilates larger than normal, causing chronic venous congestion syndrome.
The disease presents with pelvic pain unrelated to the menstrual cycle and lasts for more than 6 months. According to statistics, about 39.1% of women of all ages have this syndrome to varying degrees.

There are many treatment methods for pelvic congestive syndrome, hysterectomy can reduce clinical symptoms by 33% but up to 20% of pain recurrence after 2 years. Digital erasure of the background and ovarian varices node is a minimally invasive, fast recovery, and is quite popular in the treatment of general pelvic obstruction syndrome. Once the vasodilation was occluded, the woman no longer had persistent lower abdominal pain and improved quality of life.

Ovarian varicose vein embolization, also known as ovarian vein embolization, is a minimally invasive treatment for pelvic congestion syndrome.
Through intravenous lines, interventional instruments will be inserted into the body. Under a fluorescent screen and using a contrast medium, the doctor will locate and close off the large dilated segments. Seals are made with clogging materials such as foam gel, alcohol, bio-glue, or metal coils. The type of material used depends on the availability as well as the experience and familiarity of the surgeon.

4.1 Preparations Executor Specialist Sub-physician Electro-optical technician Nursing Doctor, anesthesiologist (if patient cannot cooperate) Equipment Digital background eraser angiogram (DSA) Machine specialized electric pump Film, film printer, image storage system Lead vest, apron, X-ray shielding Drugs Local anesthetics General anesthetics (if anesthesia is indicated) Anticoagulants Medicines neutralize anticoagulants Water-soluble Iodine contrast agents Antiseptic solution for skin and mucous membranes. General medical supplies Syringe 1; 3; 5; 10ml Syringe for electric pump Distilled water or physiological saline Gloves, gown, cap, surgical mask Aseptic intervention kit: knife, scissors, tongs, 4 metal bowls, bean tray, tray Cotton, gauze, surgical adhesive tape. Medicine box and first aid kit for contrast drug accidents. Special Medical Supplies Arterial Needle Insertion Kit 5-6F Standard Lead 0.035inch Angiography Catheter 4-5F Microcatheter 2-3F Micro Lead 0.014-0.018inch Guide Catheter 6F -Set Y-connector. Embolization material Bio-foam (gelfoam) Synthetic plastic beads (PVA) Bio-adhesives (Histoacryl, Onyx...) Metal spirals of various sizes (coils) Patients are explained to the patient techniques to coordinate with doctors. Need to fast, drink before 6 hours. Can drink no more than 50ml of water. In the intervention room: the patient lies on his back, fitted with a monitor to monitor breathing, pulse, blood pressure, electrocardiogram, SpO2. Disinfect the skin, then cover with a sterile, perforated cloth. The patient is too excited, can't lie still: need sedation...

Test sheet Medical record for inpatient treatment There is a written order to perform the procedure approved by X-ray, CT, and MRI (if any). 4.2 Procedures Right common femoral vein puncture under local anesthesia, skin incision Right common femoral vein puncture under ultrasound guidance Insertion of catheter into the lumen under guide wire guide Left ovarian vein angiography and embolization Placement Catheter leading into the left renal vein, then conducting left renal vein angiography, showing the left ovarian vein. Selective angiography of the left ovary using microtubules through a guide catheter. Ovarian vein embolization with hemostatic sponge and metal helix angiography and embolization of the right ovarian vein Insert the 7F guide catheter into the right ovarian vein from the inferior vena cava just below the right renal vein and then perform angiography Continue selective imaging of the distal ovarian vein with a 4F catheter Embolize the ovarian vein with a hemostatic sponge and a metal helix May cause occlusion of the right internal iliac vein through the catheter 4.3 Evaluation of the results Ovarian vein The eggs on both sides are completely occluded
No reflux from the left renal vein, inferior vena cava into the ovarian veins, especially in the pelvic segment
4.4 Complications and management Hematoma at the puncture site Intravenous
Deep vein thrombosis: monitoring medical treatment of fibrinolytic preparations. Place a temporary inferior vena cava filter to prevent pulmonary infarction if indicated.
Vinmec International General Hospital is a high-quality medical facility in Vietnam with a team of highly qualified medical professionals, well-trained, domestic and foreign, and experienced.
A system of modern and advanced medical equipment, possessing many of the best machines in the world, helping to detect many difficult and dangerous diseases in a short time, supporting the diagnosis and treatment of doctors the most effective. The hospital space is designed according to 5-star hotel standards, giving patients comfort, friendliness and peace of mind.
For detailed information, please contact the hospitals and clinics of Vinmec health system nationwide.

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