Complicated abdominal hysterectomy subsequent to uterine embolization for large fibroids.
Abstract
Uterine artery embolization (UAE) has increasingly been offered as a safe alternative method for treating uterine fibroids with major symptoms. By this technique patients could avoid surgical cure or definite treatment such as hysterectomy. UAE decreases the uterine blood supply to the tissues and this might predispose to intraabdominal adhesion formation as a result of tissue necrosis. A case of a complicated routine hysterectomy due to strong adhesions found intraabdominally during surgery is reported. Our patient had no predisposing factors for adhesions, but she had undergone UAE one year earlier for large fibroids and decided to proceed to surgical therapy when symptoms returned.
Authors
Korkontzelos I, Gkioulekas N, Stamatopoulos C, Magos A
Institution
Department of Obstetrics and Gynaecology, Minimally Invasive Therapy Unit & Endoscopy Training Centre, Royal Free Hospital, Pond Street, Hampstead, London, UK. i.korkontzelos@yahoo.com
Source
Clinical and experimental obstetrics & gynecology 39:1 2012 pg 122-3MeSH
AdultFemale
Humans
Hysterectomy
Leiomyoma
Tissue Adhesions
Uterine Artery Embolization
Uterine Neoplasms
Pub Type(s)
Case ReportsJournal Article
Language
eng
PubMed ID
22675971
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