RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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*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
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.
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