Abstract

Utero-ovarian arterial blood flow is impaired at 1-month follow-up after robotic-assisted laparoscopic myomectomy

Highlights

  • To determine the effect of robotic-assisted laparoscopic myomectomy (RALM) on utero-ovarian arterial blood flow

  • Another study looking at hysterectomy due to uterine myoma with myomectomy patients as a control group showed that following hysterectomy, ovarian blood supply was decreased as shown by a decreased maximum flow velocity and increased pulsatility index on color Doppler ultrasonography of the ovarian artery at one and three months after surgery [6]

  • Mahesan AM (2019) Utero-ovarian arterial blood flow is impaired at 1-month follow-up after robotic-assisted laparoscopic myomectomy malignancy, or use of GnRH agonist within 3 months of surgery were excluded

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Summary

Introduction

To determine the effect of robotic-assisted laparoscopic myomectomy (RALM) on utero-ovarian arterial blood flow. Another study looking at hysterectomy due to uterine myoma with myomectomy patients as a control group showed that following hysterectomy, ovarian blood supply was decreased as shown by a decreased maximum flow velocity and increased pulsatility index on color Doppler ultrasonography of the ovarian artery at one and three months after surgery [6]. Within their control group of 40 myomectomy patients, the authors looked at peak systolic velocity and pulsatility index of the ovarian artery and found no significant difference after myomectomy. This study noted the myoma volume was 4.22 (± 0.38) cm, so the fibroid burden was small

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