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RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 1 eISSN:  pISSN

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LAPAROSCOPIC UTERO-OVARIAN ARTERY ANASTOMOSISPOST-HYSTERECTOMY: A CASE REPORT

*Warty Neeta R. ** Sawat Rajkishor M, ***Shah Parul M, **** Warty Tanvi R 

*Bombay Hospital, Jaslok Hospital, Surya Hospital, Sanjeevani Gynaecological Endoscopy Center, Mumbai. **Associate Consultant Gynaecological Endoscopic Surgeon, Sanjeevani Gynaecological Endoscopy Center, Mumbai ***Associate Consultant Gynaecological Endoscopic Surgeon, Sanjeevani Gynaecological Endoscopy Center, Mumbai **** Sanjeevani Gynaecological Endoscopy Center, Mumbai

Dr Neeta Werty

Sanjeevani Gynaecological Endoscopy Centre

Alaknanda Apartments,Dattani Park,

Kandivli (E),Mumbai- 400

drneetawarty@gmail.com

Received Date: 2018-01-30,
Accepted Date: 2018-02-12,
Published Date: 2018-04-30
Year: 2018, Volume: 8, Issue: 2, Page no. 71-76, DOI: 10.26463/rjms.8_2_5
Views: 715, Downloads: 4
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

A 45 years old patient diagnosed as multiple uterine fibroids, underwent a Total Laparoscopic Hysterectomy. Anastomosis of ipsilateral uterine artery to ovarian artery on the right was performed. Right uterine artery was harvested from its origin and anastomosed to the right ovarian artery with 5-0 monofilament polypropropylene on 16 mm round body needle(Ethicon: Johnson & Johnson, Aurangabad) intermittent circumferential sutures. Patient was administered low molecular weight heparin post procedure followed by low molecular weight heparin and low dose aspirin for six weeks. A repeat ultrasonography with pelvic Doppler revealed an enhanced blood flow through the right ovarian pedicle as compared to the left (reduction in the Pulsatility Index (PI) 3 months post-surgery. This procedure may be beneficial in cases of hysterectomy with ovarian conservation to prevent the occurrence of posthysterectomy ovarian failure as a consequence of vascular damage to the ovarian vasculature following hysterectomy.

<p>A 45 years old patient diagnosed as multiple uterine fibroids, underwent a Total Laparoscopic Hysterectomy. Anastomosis of ipsilateral uterine artery to ovarian artery on the right was performed. Right uterine artery was harvested from its origin and anastomosed to the right ovarian artery with 5-0 monofilament polypropropylene on 16 mm round body needle(Ethicon: Johnson &amp; Johnson, Aurangabad) intermittent circumferential sutures. Patient was administered low molecular weight heparin post procedure followed by low molecular weight heparin and low dose aspirin for six weeks. A repeat ultrasonography with pelvic Doppler revealed an enhanced blood flow through the right ovarian pedicle as compared to the left (reduction in the Pulsatility Index (PI) 3 months post-surgery. This procedure may be beneficial in cases of hysterectomy with ovarian conservation to prevent the occurrence of posthysterectomy ovarian failure as a consequence of vascular damage to the ovarian vasculature following hysterectomy.</p>
Keywords
Utero-ovarian-anastomosis, post-hysterectomy, ovarian failure, pelvic Doppler. , Pulsatility index (PI), menopause
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