Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 2 de 2
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Clin Exp Obstet Gynecol ; 37(4): 299-302, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21355462

RESUMO

PURPOSE: The effect of retained one or both ovaries on the de novo ovarian pathologies required re-operation after hysterectomy due to benign gynecologic conditions were investigated retrospectively. This study was done to determine the occurrence of disease in retained ovaries after hysterectomy. METHODS: A retrospective analysis of patient charts was performed, comparing the patient reports of women who had secondary ovarian lesions those whose previously undergone total abdominal hysterectomy with unilateral oophorectomy or without oophorectomy in our Department during the nine year period of observation (2000-2009). The study included 1242 women with at least one ovary saved after hysterectomy for benign indications. RESULTS: De novo ovarian disease was established in 5.1% of patients of hysterectomy without oophorectomy and in 17.6% of patients of at least one ovary saved after hysterectomy for benign indications (p = 0.005). Ovarian pathology requiring re-operation developed in 3.8% of patients who underwent hysterectomy without oophorectomy and in 5.9% of patients who underwent hysterectomy with unilateral oophorectomy (p = 0.536). CONCLUSION: Women with unilateral oophorectomy at the time of hysterectomy had more than twice the risk of secondary ovarian lesions, compared with those without oophorectomy at hysterectomy. Determinants, such as age, parity and gravidity must be considered when deciding whether or not to perform oophorectomy at hysterectomy.


Assuntos
Doenças dos Genitais Femininos/cirurgia , Histerectomia , Doenças Ovarianas/epidemiologia , Ovariectomia , Doenças dos Anexos/cirurgia , Adulto , Hiperplasia Endometrial/cirurgia , Endometriose/cirurgia , Feminino , Doenças dos Genitais Femininos/patologia , Humanos , Leiomioma/cirurgia , Pessoa de Meia-Idade , Doenças Ovarianas/diagnóstico por imagem , Reoperação , Estudos Retrospectivos , Fatores de Risco , Ultrassonografia , Neoplasias Uterinas/cirurgia
2.
Clin Exp Obstet Gynecol ; 32(4): 230-2, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16440820

RESUMO

Changes in serum ovarian hormone and gonadotrophine levels and ovarian artery blood flow rate by Doppler ultrasonography following laparoscopic tubal sterilization were evaluated. Forty-seven cases of laparoscopic tubal sterilization by electrocoagulation were included in the study. Forty-two women who used nonhormonal contraceptive methods were randomized as a control group. Serum concentrations of estradiol, FSH, LH, progesterone and bilateral ovarian artery pulsatility indexes were measured at baseline and at three, six and 12 months. In the study group, the mean value of midluteal progesterone was significantly decreased three months postoperatively 3. and bilateral ovarian artery pulsatility indexes were increased three and six months postoperatively, compared to their preoperative values. However, there was no statistical difference between bilateral ovarian PI values calculated preoperatively and at 12 months. Laparoscopic tubal ligation by electrocoagulation may temporarily cause reduced bilateral ovarian artery flow and corpus luteum dysfunction proven by low mid-luteal progesterone levels.


Assuntos
Estradiol/sangue , Hormônio Foliculoestimulante/sangue , Hormônio Luteinizante/sangue , Ovário/irrigação sanguínea , Progesterona/sangue , Esterilização Tubária , Eletrocoagulação , Feminino , Seguimentos , Humanos , Laparoscopia , Fase Luteal/sangue , Ovário/diagnóstico por imagem , Fluxo Pulsátil , Esterilização Tubária/métodos , Ultrassonografia Doppler
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...