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Postmyomectomy sonographic imaging: uterus remodeling and scar repair

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Abstract

Purpose

Description and evaluation of the sonographic changes at the site of the myomectomy and follow-up of the healing process.

Methods

Twelve patients with intramural fibroids underwent myomectomy. Pre- and postoperative ultrasound examinations included measurements of uterine volume and the largest diameters of the largest fibroid and the myomectomy scar.

Results

The mean uterine preoperative volume was 773 cm3 (range 271–1,343) (SD 285). It decreased postoperatively to 318 cm3 (range 98–756) (SD 192) and 185 cm3 (range 78–420) (SD 96) in the immediate and late scans, respectively. The mean size of the largest diameter of the largest fibroid was 10 cm (range 7–15) (SD 2.3). The largest diameter of the immediate postoperative myomectomy site was 4.5 cm (range 2.2–8) (SD 1.8) decreasing later to 2.4 cm (range 0–6) (SD 1.6).

Conclusion

The postoperative sonographic findings following myomectomy demonstrates a solid finding that may mistakenly be interpreted as the remaining fibroid that shrinks gradually. The finding is probably the result of changes in hyperplastic myometrial tissue, focal small hematomata and suture material.

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References

  1. Beyth Y, Jaffe R, Goldberger S (1992) Uterine remodeling following conservative myomectomy. Ultrasonographic evaluation. Acta Obstet Gynecol Scand 71(8):632–635

    Article  PubMed  CAS  Google Scholar 

  2. Seinera P, Gaglioti P, Volpi E et al (1999) Ultrasound evaluation of uterine wound healing following laparoscopic myomectomy: preliminary results. Hum Reprod 14(10):2460–2463

    Article  PubMed  CAS  Google Scholar 

  3. Pun TC, Chau MT, Lam C et al (1998) Sonographic evaluation of the myomectomy ‘scars’. Acta Obstet Gynecol Scand 77(2):218–721

    Article  PubMed  CAS  Google Scholar 

  4. Darwish AM, Nasr AM, El-Nashar DA (2005) Evaluation of postmyomectomy uterine scar. J Clin Ultrasound 33(4):181–186

    Article  PubMed  Google Scholar 

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Conflict of interest statement

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Authors and Affiliations

  1. Ultrasound Unit, Department of Obstetrics and Gynecology, Meir Hospital, Meir Medical Center, 59 Tchernihovski st., 44281, Kfar Sava, Israel

    Ronnie Tepper, Zvi Klein & Rami Aviram

  2. Pediatric and Adolescent Gynecology Unit, Department of Obstetrics and Gynecology, Meir Hospital, 59 Tchernihovski st., 44281, Kfar Sava, Israel

    Yoram Beyth & Zvi Klein

  3. Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel

    Ronnie Tepper, Yoram Beyth, Zvi Klein & Rami Aviram

Authors
  1. Ronnie Tepper
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  2. Yoram Beyth
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  3. Zvi Klein
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  4. Rami Aviram
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Corresponding author

Correspondence to Rami Aviram.

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Tepper, R., Beyth, Y., Klein, Z. et al. Postmyomectomy sonographic imaging: uterus remodeling and scar repair. Arch Gynecol Obstet 280, 509–511 (2009). https://doi.org/10.1007/s00404-009-0967-6

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  • DOI: https://doi.org/10.1007/s00404-009-0967-6

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