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Color Doppler evaluation of blood flow changes in leiomyomas after uterine artery ligation
Chao-Hsi Lee1, Chi-Chang Chang, Yi-Ting Kuo
1Department of Gynecology and Obstetrics, Yi-Da medical hospital, Yi-Da Road, Jiau-shu Tsuen, Yan-chau Shiang, No. 123 Dapi Road, Niaosong Shiang, Kaohsiung County 833, Taiwan.
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.
