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Effect of Total Abdominal Hysterectomy on Ovarian Blood Supply in Women of Reproductive Age
2005; Wiley; Volume: 24; Issue: 2 Linguagem: Inglês
10.7863/jum.2005.24.2.169
ISSN1550-9613
AutoresEliana Aguiar Petri Nahás, Anaglória Pontes, Jorge Nahas-Neto, Vera Therezinha Medeiros Borges, Rogério Dias, Paulo Traiman,
Tópico(s)Gynecological conditions and treatments
ResumoJournal of Ultrasound in MedicineVolume 24, Issue 2 p. 169-174 Article Effect of Total Abdominal Hysterectomy on Ovarian Blood Supply in Women of Reproductive Age Eliana Aguiar Petri Nahás MD, Eliana Aguiar Petri Nahás MD [email protected] Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorAnaglória Pontes MD, Anaglória Pontes MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorJorge Nahas-Neto MD, Jorge Nahas-Neto MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorVera Therezinha Medeiros Borges MD, Vera Therezinha Medeiros Borges MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorRogério Dias MD, Rogério Dias MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorPaulo Traiman MD, Paulo Traiman MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this author Eliana Aguiar Petri Nahás MD, Eliana Aguiar Petri Nahás MD [email protected] Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorAnaglória Pontes MD, Anaglória Pontes MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorJorge Nahas-Neto MD, Jorge Nahas-Neto MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorVera Therezinha Medeiros Borges MD, Vera Therezinha Medeiros Borges MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorRogério Dias MD, Rogério Dias MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this authorPaulo Traiman MD, Paulo Traiman MD Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, São Paulo, Brazil.Search for more papers by this author First published: 01 February 2005 https://doi.org/10.7863/jum.2005.24.2.169Citations: 39 Address correspondence and reprint requests to Eliana Aguiar Petri Nahás, MD, Department of Gynecology and Obstetrics, Botucatu Medical School, São Paulo State University, Rubião Júnior, Botucatu, São Paulo, Brazil 18618-970. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Objective The purpose of this study was to evaluate the effect of total abdominal hysterectomy on ovarian blood supply using transvaginal color Doppler ultrasonography in women of reproductive age. Methods This prospective study included 61 women aged 40 years or younger who were divided into 2 groups: group 1, comprising 31 patients who underwent total abdominal hysterectomy (TAH); and group 2, comprising 30 women with no abnormalities. Inclusion criteria included normal ovarian function at baseline, with basal follicle-stimulating hormone levels of less than 15 mUI/mL, normal body weight, no tobacco use, and no history of laparotomy or ovarian disease. Ovarian arterial blood supply by determination of the pulsatility index (PI) on Doppler analysis and ovarian volume on transvaginal ultrasonography were assessed at baseline and at 6 and 12 postoperative months. The Student t test, profile analysis, and Friedman and Mann-Whitney tests were used in the statistical analysis of data. Results Statistical analysis of baseline data revealed that both groups were homogeneous. At months 6 and 12, greater ovarian volumes and lower PI values were observed in patients who underwent TAH (P < .05). By the end of the study, in 8 of the 31 patients who underwent TAH (25.5%), benign ovarian cysts were observed. In the control group, all the parameters studied remained unchanged. Conclusions The reduced PI values observed on Doppler ultrasonography suggested a decrease in the resistance flow in the ovarian arteries in women of reproductive age who underwent TAH. Citing Literature Volume24, Issue2February 2005Pages 169-174 RelatedInformation
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