caa a22 4500 445309172 CHVBK 20180317142623.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00404-010-1615-x doi (NATIONALLICENCE)springer-10.1007/s00404-010-1615-x Three-dimensional power Doppler study of changes in uterine vascularity after absorbable cervical tourniquet during open myomectomy [Elektronische Daten] [Manal El Behery, Moustafa Zaitoun, Sohasaim,, Moustafa Ibraheim] Objective: To evaluate the effect of an absorbable polyglactin tie (i.e., cervical tourniquet) on postoperative uterine artery blood flow using three-dimensional (3D) power Doppler. Patients and methods: Forty-four patients with symptomatic uterine myomas warranting surgical treatment were randomized to either receive absorbable cervical tourniquets group 1 or not group 2. Resistance index, pulsatility index, and peak systolic velocity of the uterine artery as well as 3D power Doppler study of uterine vascularity in terms of VI, FI, vascularization flow index (VFI) were performed preoperatively and at 1 and 3months, postoperatively. Estimated myoma and uterine volume, operative time were compared in both groups. Results: No significant difference in the characteristics of myomas, regarding number, size, and location of the largest myoma, between the two studied groups. No significant differences between the two groups for uterine artery RIs, PIs, and PSV at 1 and 3 months, postoperatively. The myometrial VI, FI and VFI in the study group were comparable to those in the control group. No sequential change in FI was noted in either group. Conclusion: Absorbable cervical tourniquet during open myomectomy did not compromise uterine perfusion as evaluated by 3D power Doppler study. Springer-Verlag, 2010 Absorbable cervical tourniquet nationallicence Myomectomy nationallicence 3D power Doppler nationallicence El Behery Manal Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut Zaitoun Moustafa Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut Sohasaim, Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut Ibraheim Moustafa Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 157-161 0932-0067 284:1<157 2011 284 404 https://doi.org/10.1007/s00404-010-1615-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1615-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- El Behery Manal Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut NATIONALLICENCE 700 1- Zaitoun Moustafa Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut NATIONALLICENCE 700 1- Sohasaim Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut NATIONALLICENCE 700 1- Ibraheim Moustafa Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University Hospitals, Zagazig, Egypt aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 157-161 0932-0067 284:1<157 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer