Two of them needed subtotal hysterectomy, two needed bilateral hypogastric artery ligation and one needed bilateral
utero-ovarian artery ligation.
Separation of the fallopian tube before clamping the '
utero-ovarian ligament' technique
It is hypothesised that non-target embolisation causes hypoxia to the ovarian cortex, resulting in loss of AMH-secreting small antral and pre-antral follicles that are sensitive to reduced tissue oxygen tension.[17] This is likely the case in women with
utero-ovarian anastomosis, since embolic material has been recovered from ovarian biopsy following UAE.
A subserous pediculated fibroid of 25 mm in the posterior wall of the uterus, close to the
utero-ovarian right ligament, was easily removed.
Rupture of the external iliac artery,
utero-ovarian artery and uterine artery, regardless of the site of rupture, may lead to direct hemorrhage into the peritoneal cavity, with rapid and profound blood loss, which can result in hypovolemic shock and death.
Notably, it has been suggested that endometriosis-related SHiP could be caused by spontaneous rupture of
utero-ovarian vessels or bleeding endometriosis implants.[1] This may be attributed to three factors: (1)
utero-ovarian vessels are more friable due to chronic inflammations associated with endometriosis; (2) adhesions in combination with enlargement of the uterus during pregnancy can place these vessels under greater tension; and (3) decidualization of endometriotic lesions during pregnancy may cause
utero-ovarian vessel perforation.
Hemorrhage from ruptured
utero-ovarian veins during pregnancy; report of 3 cases and review of literature.
GnRH-agonists cause a suppression of the pituitary function and secretion of gonadotropins, and decrease
utero-ovarian perfusion, so it is considered that these mechanisms can protect the deterioration of ovarian reserve.
When OT occurs, the ovary typically rotates around both the infundibulopelvic ligament and the
utero-ovarian ligament.
However, in agreement with other authors [12,13], we perform systematic oophoropexy in cases of recurrent torsion, excessive length of
utero-ovarian ligament, torsion of a solitary adnexa, or contralateral pexy in case of adnexectomy of the twisted adnexa.
Occluding the
utero-ovarian ligaments with bulldog clamps to control collateral blood flow from the ovarian artery has been described, but the clamps can tear these often enlarged and fragile uterine veins during manipulation of the uterus.
Despite an attentive search, no ovarian remnant, pedicle or
utero-ovarian ligament was identified.