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Ultrasound evaluation of uterine healing after laparoscopic intracapsular myomectomy: an observational study
- Source :
- Human Reproduction. 27:2664-2670
- Publication Year :
- 2012
- Publisher :
- Oxford University Press (OUP), 2012.
-
Abstract
- STUDY QUESTION Can uterine scar healing after laparoscopic intracapsular myomectomy (LIM) be adequately monitored by traditional two-dimensional (2D) ultrasound (US) and Doppler velocimetry? SUMMARY ANSWER The myometrial area of the scar after LIM can be followed by 2D US and Doppler velocimetry. WHAT IS KNOWN ALREADY Apart from post-surgical adhesions, the main concern linked to laparoscopic myomectomy is the quality of healing of the myometrial incision: it has been suggested that US could be useful for assessing uterine scars after myomectomy. However, no diagnostic method has yet been widely accepted to assess the healing process. STUDY DESIGN, SIZE, DURATION A cohort prospective study (level of evidence II-2), run in University-affiliated hospitals: 149 women with symptomatic uterine fibroids (UFs) underwent LIM, between January 2007 and October 2011. During follow up 13 patients withdrew from the study. PARTICIPANTS/MATERIALS, SETTING, METHODS After LIM, all patients were followed by traditional 2D US scanning and Doppler velocimetry on Days: 0, 1, 7, 30 and 45. Authors evaluated: number, size and location of UFs, scar diameter and Doppler velocimetry and resistance index (RI) of the uterine arteries, at their ascending branch. MAIN RESULTS AND THE ROLE OF CHANCE The uterine examination showed a significant (P < 0.05) progressive reduction of uterine scar area from 78% of the previous UF location on the first day, to 19% on 30th day, and
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
Uterine fibroids
medicine.medical_treatment
Scars
myoma pseudocapsule
neurovascular bundle
Body Mass Index
Cohort Studies
Cicatrix
Hematoma
medicine
Humans
Prospective Studies
Prospective cohort study
Laparoscopy
myomectomy
Wound Healing
Leiomyoma
medicine.diagnostic_test
uterine scar
business.industry
Uterus
Rehabilitation
Myometrium
Obstetrics and Gynecology
Ultrasonography, Doppler
uterine fibroid
Laser Doppler velocimetry
medicine.disease
Uterine myomectomy
Surgery
Reproductive Medicine
Calibration
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 14602350 and 02681161
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Human Reproduction
- Accession number :
- edsair.doi.dedup.....4d6c7c51dec39898cfd6a13bc570d6ce