A rare indication of robot-assisted uretero-ureterostomy: ovarian vein syndrome

Ovarian vein syndrome is a rare cause of ureteral obstruction. Most of these cases occur during pregnancy likely from the gravid uterus causing ovarian vein dilatation and valvular incompetence. Hormonal changes associated with pregnancy also affect the muscular wall of ureter, causing decrease in t...

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Published inJournal of robotic surgery Vol. 13; no. 5; pp. 703 - 705
Main Authors Manoharan, Vignesh, Parmar, Kalpesh, Mavuduru, Ravimohan S., Rai, Tushit, Tyagi, Shantanu
Format Journal Article
LanguageEnglish
Published London Springer London 01.10.2019
Springer Nature B.V
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Abstract Ovarian vein syndrome is a rare cause of ureteral obstruction. Most of these cases occur during pregnancy likely from the gravid uterus causing ovarian vein dilatation and valvular incompetence. Hormonal changes associated with pregnancy also affect the muscular wall of ureter, causing decrease in tone and may facilitate compression as well. There is a predilection for right side and in thin females. The traditional treatment has been the ligation of ovarian vein and ureterolysis. We report a case of ovarian vein syndrome in a young female which was managed by robot-assisted laparoscopic ovarian vein ligation, resection of stenosed ureteric segment and end-to-end ureterostomy.
AbstractList Ovarian vein syndrome is a rare cause of ureteral obstruction. Most of these cases occur during pregnancy likely from the gravid uterus causing ovarian vein dilatation and valvular incompetence. Hormonal changes associated with pregnancy also affect the muscular wall of ureter, causing decrease in tone and may facilitate compression as well. There is a predilection for right side and in thin females. The traditional treatment has been the ligation of ovarian vein and ureterolysis. We report a case of ovarian vein syndrome in a young female which was managed by robot-assisted laparoscopic ovarian vein ligation, resection of stenosed ureteric segment and end-to-end ureterostomy.
Author Rai, Tushit
Tyagi, Shantanu
Mavuduru, Ravimohan S.
Parmar, Kalpesh
Manoharan, Vignesh
Author_xml – sequence: 1
  givenname: Vignesh
  surname: Manoharan
  fullname: Manoharan, Vignesh
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  givenname: Kalpesh
  orcidid: 0000-0003-3891-4089
  surname: Parmar
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  givenname: Ravimohan S.
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  fullname: Mavuduru, Ravimohan S.
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10.1097/00004728-199905000-00018
10.1016/S0022-5347(01)65601-5
10.1016/S0090-4295(74)80171-8
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10.1001/jama.1966.03110200138046
10.1016/S1471-7697(03)00090-X
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Issue 5
Keywords Pregnancy
Ovarian vein syndrome
Robot assisted
Uretero-ureterostomy
Language English
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StartPage 703
SubjectTerms Abdomen
Adult
Case Report
Conflicts of interest
Dilatation, Pathologic - etiology
Dilatation, Pathologic - surgery
Embolization
Female
Females
Humans
Hydronephrosis
Laparoscopy
Laparoscopy - methods
Ligation - methods
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Ostomy
Ovaries
Ovary - blood supply
Pain
Pregnancy
Pregnancy Complications - surgery
Robotic Surgical Procedures - methods
Robots
Surgery
Syndrome
Treatment Outcome
Ureter - surgery
Ureteral Obstruction - etiology
Ureteral Obstruction - surgery
Ureterostomy - methods
Urologic Surgical Procedures - methods
Urology
Uterus
Veins & arteries
Veins - pathology
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Title A rare indication of robot-assisted uretero-ureterostomy: ovarian vein syndrome
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