Color Doppler evaluation of blood flow changes in leiomyomas after uterine artery ligation.

Abstract

OBJECTIVE:

To detect possible changes in main blood vessels within leiomyomas after uterine artery ligation using color Doppler sonography.

METHOD:

Blood flow in main leiomyoma blood vessels was measured before and after the procedure in 14 women who also had abnormal uterine bleeding, pelvic pain or pressure, and/or anemia.

RESULTS:

Of the 14 patients, 13 reported complete disappearance of preoperative pain or pressure and 1 reported significant relief. Within 1 week to 4 months after uterine artery ligation, major blood flow within leiomyomas had significantly decreased in all patients. Eight months after the procedure, 1 of the women became pregnant.

CONCLUSION:

Laparoscopic uterine artery ligation via a lateral retroperitoneal technique is a safe and effective treatment for leiomyomas. Color Doppler sonography verified the ability of the procedure to diminish blood flow within leiomyomas in all patients.

• Authors: Chao-Hsi Lee, Chi-Chang Chang, Yi-Ting Kuo
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 90 Issue 2 Pg. 118-22 (Aug 2005) ISSN: 0020-7292 [Print] United States
• PMID: 15970287 (Publication Type: Journal Article)

Topics

• Adult
• Arteries (surgery)
• Female
• Humans
• Leiomyoma (blood supply, surgery)
• Ligation
• Middle Aged
• Regional Blood Flow
• Treatment Outcome
• Ultrasonography, Doppler, Color (methods)
• Uterine Neoplasms (blood supply, surgery)
• Uterus (blood supply, surgery)