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DOI: 10.1055/a-2146-0356
Multimodale Therapie bei pudendaler Varikose
Bochumer AlgorithmusMultimodal Therapy for Pudendal VaricosisBochum Algorithm
Zusammenfassung
Die pudendale Varikose wird nahezu regelhaft durch pathologischen Reflux aus dem kleinen Becken gespeist. Daher muss bei der Behandlung von Patientinnen mit pudendaler Varikose stets abgewogen werden, ob zusätzlich zur Sanierung der sichtbaren Varizen auch ein Verschluss der vorgeschalteten Refluxquelle angestrebt werden soll. Für diese Fragestellung haben wir aus unserem Krankengut einen Algorithmus entwickelt, der zur Entscheidungsfindung herangezogen werden kann. Anhand eines Fallbeispiels soll unser multimodales Konzept bei der Behandlung einer pudendalen Varikose exemplarisch dargestellt werden.
Abstract
Pudendal varicose veins are almost always fed by pathological reflux from the small pelvis. Therefore, when treating patients with pudendal varicose veins, it must always be considered whether, in addition to treatment of the visible varicose veins, closure of the upstream reflux source should also be attempted. For this question, we have developed an algorithm from our patient population that can be used for decision-making. Using a case study, our multimodal concept in the treatment of pudendal varicose veins will be presented as an example.
Schlüsselwörter
pudendale Varikose - pelvines Stauungssyndrom - Ultraschall-gesteuertes PIN-Stripping - Sklerotherapie - EmbolisationKeywords
pudendal varicosis - pelvic congestion syndrome - ultrasound-guided PIN stripping - sclerotherapy - embolizationPublication History
Article published online:
14 February 2024
© 2024. Thieme. All rights reserved.
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