Assessment of changes in blood circulation in the vessels of the uterus and ovaries in patients after myomectomy by various operating access

Cover Page
Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract


The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and the blood flow in the uterine and ovarian vessels after laparoscopic and abdominal myomectomy.

Material and methods. 58 patients aged 36.2 ± 5.9 year old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy.

The selection of surgical approach didn´t depend on the size, the number and localization of uterine myomas and the patient´s concomitant pathology.

Postoperative assessment was performed on day 5th–8th after surgery and in 1 and 6 months after myomectomy. 3D ultrasound examination with color Doppler mapping was used to assess the structure of the uterine scars after myomectomy and the blood flow in the uterine and ovarian arteries.

Results. No significant differences were found in the processes of reparation of the uterus and in the blood flow in the uterine and ovarian arteries after laparoscopic or abdominal myomectomy. The time, required for the patients´ reabilitation and for the total restoration of the uterine morphological structure was about 6 months and was similar in both groups.

Conclusion. Restoration of the anatomical and functional uterine integrity and the blood flow in the uterine and ovarian arteries after myomectomy doesn´t depend on the surgical approach if myomectomy is performed by experienced surgeon after the correct assessment of the clinical situation.


Full Text

Restricted Access

About the authors

Yan Van

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Author for correspondence.
Email: wangyang1990@mail.ru
ORCID iD: 0000-0003-1003-6261

Russian Federation

Yu. A. Romadanova

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Email: julia.romadanova@mail.ru
ORCID iD: 0000-0002-4106-8218

Russian Federation

A. A. Bakhvalova

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Email: allbak0202@yandex.ru
ORCID iD: 0000-0002-3966-3296

Russian Federation

E. V. Fedina

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Email: kate-happy@mail.ru

Russian Federation

A. A. Zinov’yev

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Email: acustic3d@mail.ru

Russian Federation

D. D. Shabanova

ГБУЗ г. Москвы «Центр медицинской профилактики Департамента здравоохраненя города Москвы»

Email: brunina77@gmail.com
ORCID iD: 0000-0003-3514-535X

Russian Federation

D. V. Bryunin

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский университет) Минздрава России

Email: Bryun777@mail.ru
ORCID iD: 0000-0002-5969-4217

Russian Federation

References

  1. Dolinskiy AK, Tolibova GKh, Tral’ TG, Bezhenar’ VF. Molecular assessment of myogenesis and the state of the uterine scar after myomectomy with various surgical approaches. Molekulyarnaya meditsina. 2014;(1):22–27. (In Russ).
  2. Dubussion JB, Leluru F, Foulot H. Laparoscopic myomectomy: where do we stand? Gynecol Endosc. 1995;4:83–86.
  3. Zaami S, Montanari Vergallo G, Malvasi A, Marinelli E. Uterine rupture during induced labor after myomectomy and risk of lawsuits. Eur Rew Med Pharm Scin. 2019;23(4):1379–1381. doi: 10.26355/eurrev_201902_17091
  4. Adamyan LV. Myoma of the uterus. Diagnostics, treatment and rehabilitation. Moscow: GEOTAR-Media; 2015. (In Russ).
  5. Dobrokhotova YuE, Nasyrova NI, Gavrilov MV. Modern suture materials used in myomectomy. Akusherstvo i ginekologiya. 2015;(8):53–58. (In Russ).
  6. Popov AA, Fedorov AA, Loginova EA, et al. Uterine fibroids: in favor of surgical treatment for infertility. Meditsinskiy alfavit. 2017;(23):46–49. (In Russ).
  7. Rakotomahenina H, Rajaonarison J, Wong L, Jean-Luc Brun. Myomectomy: technique and current indication. Minerva Gin. 2017;69(4):357–369. doi: 10.23736/S0026-4784.17.04073-4.
  8. Wu HY, Wang KC. Minimally invasive approaches to the surgical management of fibroids. Semin Reprod Med. 2017;35(6):533–548. doi: 10.1055/s-0037-1606304
  9. Podzolkova NM, Korennaya VV, Koloda YuA. Myoma of the uterus. Moscow: GEOTAR-Media; 2015. (In Russ).
  10. Lee D, Kim SK, Kim K, et al. Advantages of single-port laparoscopic myomectomy compared with conventional laparoscopic myomectomy: a randomized controlled study. J Minim Invasive Gynecol. 2018;25(1):124–132. doi: 10.1016/j.jmig.2017.08.651
  11. Verhulst G, Devroey P. Endoscopic surgery in gynecological practice. Int J Gynaecol Obstet.1995;49:107–123. doi: 10.1016/0020-7292(95)02329-b.

Statistics

Views

Abstract - 26

PDF (Russian) - 0

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies