Assessment of changes in blood circulation in the vessels of the uterus and ovaries in patients after myomectomy by various operating access

The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and the blood flow in the uterine and ovarian vessels after laparoscopic and abdominal myomectomy. Material and methods . 58 patients aged 36.2 ± 5.9 year old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy. The selection of surgical approach didn´t depend on the size, the number and localization of uterine myomas and the patient´s concomitant pathology. Postoperative assessment was performed on day 5 th –8 th after surgery and in 1 and 6 months after myomectomy. 3D ultrasound examination with color Doppler mapping was used to assess the structure of the uterine scars after myomectomy and the blood flow in the uterine and ovarian arteries. Results. No significant differences were found in the processes of reparation of the uterus and in the blood flow in the uterine and ovarian arteries after laparoscopic or abdominal myomectomy. The time, required for the patients´ reabilitation and for the total restoration of the uterine morphological structure was about 6 months and was similar in both groups. Conclusion. Restoration of the anatomical and functional uterine integrity and the blood flow in the uterine and ovarian arteries after myomectomy doesn´t depend on the surgical approach if myomectomy is performed by experienced surgeon after the correct assessment of the clinical situation.