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  • Title: Color Doppler evaluation of blood flow changes in leiomyomas after uterine artery ligation.
    Author: Lee CH, Chang CC, Kuo YT.
    Journal: Int J Gynaecol Obstet; 2005 Aug; 90(2):118-22. PubMed ID: 15970287.
    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.
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