Clinical Edge Journal Scan

Aging may impair restoration of endometrial blood flow after laparoscopic myomectomy


 

Key clinical point: The uterine radial artery resistance index (RA-RI) was impaired after laparoscopic myomectomy (LM) and took almost 3 months to return to postoperative levels. However, restoration correlated negatively with the age of the patient.

Major finding: The median impedance of RA-RI was significantly higher 1 week after LM (0.87) vs before (0.73) and 3 months after (0.76) surgery ( P < .001). There was a moderately significant correlation between the patient’s age and the rate of recovery at 3 months after LM (Pearson’s correlation coefficient, 0.54; P = .002).

Study details: Findings are from a retrospective study including 19 infertile women with uterine fibroid who underwent LM.

Disclosures: This work was funded by a grant from the Japanese Foundation for Research and Promotion of Endoscopy. The authors declared no conflict of interests.

Source: Ota K et al. J Obstet Gynaecol. 2021 Sep 23. doi: 10.1080/01443615.2021.1945011 .

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