Uterine arteriovenous malformation: fertility-sparing surgery using unilateral ligation of uterine artery and ovarian ligament

Authors: MILINGOS¹; DOUMPLIS¹; SIEUNARINE²; SAVAGE³; LAWSON⁴; SMITH

Source: International Journal of Gynecological Cancer, Volume 17, Number 3, May/June 2007 , pp. 735-737(3)

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Abstract:

Milingos D, Doumplis D, Sieunarine K, Savage P, Lawson AD, Smith JR. Uterine arteriovenous malformation: fertility-sparing surgery using unilateral ligation of uterine artery and ovarian ligament. Int J Gynecol Cancer 2007;17:735-737.

Arteriovenous malformations (AVM) are rarely found in the uterus and are usually acquired. The method of treatment is determined by symptoms, desire for future fertility, extent, and location of the malformation. Selective ligation of the vessels supplying the malformation is an effective treatment option when conservative methods have failed and uterine preservation is of primary concern. Measurement of uterine O₂ saturation and perfusion index has been shown to be effective in the intraoperative assessment of uterine viability, pre- and postligation of pelvic vasculature. We present the case of a 32-year-old woman with a postmolar uterine AVM treated surgically with unilateral uterine artery and ovarian ligament ligation.

Keywords: arteriovenous malformation; ligation of uterine artery; perfusion index; pulse oximetry

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1525-1438.2007.00884.x

Affiliations: 1: West London Gynaecological Cancer Center, Hammersmith Hospitals NHS Trust, London, United Kingdom 2: Department of Gynaecology, West Middlesex Hospital, London, United Kingdom 3: Department of Medical Oncology, Charing Cross Hospital, London, United Kingdom 4: Department of Anaesthetics and Pain Control, Royal Berkshire NHS Foundation Trust, Royal Berkshire Hospital, Reading, United Kingdom

Publication date: 2007-05-01