Surgical management of a large postoperative vulvar haematoma following vulvar phlebectomy and ovarian vein embolization for vulvar varicose veins: A case report

Autor: Georgia Theodorou, Fathi Khomsi, Kawthar Bouzerda-Brahami, Jean Bouquet de Jolinière, Professor, Anis Feki, Professor
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Women's Health, Vol 27, Iss , Pp e00225- (2020)
Druh dokumentu: article
ISSN: 2214-9112
DOI: 10.1016/j.crwh.2020.e00225
Popis: Vulvar varicose veins (VVs) are seen in 4% of women, most of them secondary to pregnancy and usually regressing spontaneously. The treatment of choice during pregnancy is conservative and symptomatic. Management of vulvar varicosities in non-pregnant women consists of various techniques, including phlebectomy, endovascular embolization or surgical ligation of contributing veins, sclerotherapy and, recently, conservative treatment with the venoactive agent MPFF (micronized purified flavonoid fraction). We report an unusual case of a large hematoma of the right labium majus following bilateral vulvar phlebectomy and embolization of the left ovarian vein. The patient was a non-pregnant woman, who underwent incision and drainage of this rare complication. At follow-up almost a year after this procedure the patient reported comfort and cosmetic satisfaction regarding her vulvar symptoms. A multidisciplinary team approach to vulvar varicosities is important, with the involvement of gynecologists, angiologists, interventional radiologists and vascular surgeons.
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