The Experts below are selected from a list of 1266 Experts worldwide ranked by ideXlab platform
Hwan Jun Jae - One of the best experts on this subject based on the ideXlab platform.
-
importance of angiographic visualization of Round Ligament arteries in women evaluated for intractable vaginal bleeding after uterine artery embolization
Journal of Vascular and Interventional Radiology, 2009Co-Authors: Hyocheol Kim, Jin Wook Chung, Jong Kwan Jun, Hwan Jun JaeAbstract:Purpose To determine the incidence of angiographic visualization and the clinical significance of Round Ligament arteries in patients who present with intractable vaginal bleeding. Materials and Methods A review of 113 patients (age range, 20–67 years) who underwent pelvic angiography for intractable vaginal bleeding between June 1992 and May 2008 was retrospectively performed. It was recorded whether Round Ligament artery was visualized on pelvic aortography after uterine artery embolization (UAE). The medical records of the patients were reviewed to analyze the final clinical outcome. The Fisher exact test was used to correlate persistent vaginal bleeding after UAE with visualization of Round Ligament arteries. Results Of 111 patients who underwent UAE, 42 patients (postpartum bleeding, n = 40; postabortion bleeding, n = 2) had at least one visible Round Ligament artery on postembolization pelvic aortography. Ten patients received Round Ligament artery embolization. Persistent vaginal bleeding after adequate UAE was observed more commonly in patients whose Round Ligament artery was seen on postembolization pelvic aortography ( P = .007). Conclusions Round Ligament arteries are commonly visualized in patients who present with postpartum bleeding and should be investigated when there is persistent bleeding, even after adequate UAE.
Hyocheol Kim - One of the best experts on this subject based on the ideXlab platform.
-
importance of angiographic visualization of Round Ligament arteries in women evaluated for intractable vaginal bleeding after uterine artery embolization
Journal of Vascular and Interventional Radiology, 2009Co-Authors: Hyocheol Kim, Jin Wook Chung, Jong Kwan Jun, Hwan Jun JaeAbstract:Purpose To determine the incidence of angiographic visualization and the clinical significance of Round Ligament arteries in patients who present with intractable vaginal bleeding. Materials and Methods A review of 113 patients (age range, 20–67 years) who underwent pelvic angiography for intractable vaginal bleeding between June 1992 and May 2008 was retrospectively performed. It was recorded whether Round Ligament artery was visualized on pelvic aortography after uterine artery embolization (UAE). The medical records of the patients were reviewed to analyze the final clinical outcome. The Fisher exact test was used to correlate persistent vaginal bleeding after UAE with visualization of Round Ligament arteries. Results Of 111 patients who underwent UAE, 42 patients (postpartum bleeding, n = 40; postabortion bleeding, n = 2) had at least one visible Round Ligament artery on postembolization pelvic aortography. Ten patients received Round Ligament artery embolization. Persistent vaginal bleeding after adequate UAE was observed more commonly in patients whose Round Ligament artery was seen on postembolization pelvic aortography ( P = .007). Conclusions Round Ligament arteries are commonly visualized in patients who present with postpartum bleeding and should be investigated when there is persistent bleeding, even after adequate UAE.
J P Pelage - One of the best experts on this subject based on the ideXlab platform.
-
value of Round Ligament artery embolization in the management of postpartum hemorrhage
Journal of Vascular and Interventional Radiology, 2017Co-Authors: Gregoire Leleup, A Fohlen, Anthony Dohan, Lara Bryanrest, Vincent Le Pennec, Olivier Limot, Olivier Le Dref, Philippe Soyer, J P PelageAbstract:Abstract Purpose To evaluate the feasibility and efficacy of embolization of the Round Ligament arteries in the management of postpartum hemorrhage. Materials and Methods Eleven women (mean age, 31 y) underwent Round Ligament artery because of persistent or recurrent hemorrhage after initial uterine or internal iliac artery embolization. Results A total of 16 Round Ligament arteries were embolized. The Round Ligament artery arose from the inferior epigastric artery in 11 cases (69%) and directly from the external iliac artery in 5 (31%). Embolization was performed with calibrated microspheres in 7 women (63%) and gelatin sponge pledgets in 4 (37%). Coils were used in addition to gelatin sponge pledgets in 3 patients. Hemostasis was achieved in 10 patients (91%), and 1 required additional conservative surgery. The mean hemoglobin level before embolization was 7.2 g/dL ± 1 and increased significantly on day 1 after embolization (10.3 g/dL ± 1.0; P Conclusions Selective embolization of the Round Ligament artery is a safe and effective treatment for obstetric hemorrhage. It should be considered in cases of persistent or recurrent bleeding after initial uterine or internal iliac artery embolization.
-
uterine artery replacement by the Round Ligament artery an anatomic variant discovered during uterine artery embolization for leiomyomata
Journal of Vascular and Interventional Radiology, 2002Co-Authors: Piya V Saraiya, J P Pelage, Thomas Chang, James B SpiesAbstract:The authors report a case of an unusual anatomic variation encountered during uterine embolization, that of absence of a uterine artery, with replacement by an enlarged Round Ligament artery. This case highlights the importance of understanding the arterial anatomy of the uterus and its potential variations and their potential impact on the outcome of the procedure.
D Van Geldere - One of the best experts on this subject based on the ideXlab platform.
-
bilateral Round Ligament varicosities mimicking inguinal hernia during pregnancy
Hernia, 2009Co-Authors: Frank F A Ijpma, K M Boddeus, H H De Haan, D Van GeldereAbstract:Round Ligament varicosities during pregnancy have not been reported extensively. The swelling mimics an inguinal hernia and should be considered in the differential diagnosis of a groin swelling during pregnancy. We report a case of a pregnant woman with bilateral Round Ligament varicosities. At 22 weeks of pregnancy she was operated on based on the clinical suspicion of a painful inguinal hernia on the right side. Surgical exploration revealed varicosities of the Round Ligament, and resection was performed. Four weeks later the same diagnosis was made by duplex sonography of a painful swelling in the left groin. Increased pain necessitated surgical exploration and resection of the varicosities on the left side. The postoperative course on both sides was uneventful and without pain during the rest of her pregnancy, during labor or post partum.
Michael M Alper - One of the best experts on this subject based on the ideXlab platform.
-
a mesothelial cyst of the Round Ligament presenting as an inguinal hernia after gonadotropin stimulation for in vitro fertilization
Fertility and Sterility, 2004Co-Authors: David A Ryley, Donald W Moorman, Jonathan L Hecht, Michael M AlperAbstract:Objective To report the case of a Round Ligament cyst which, as the result of gonadotropin stimulation for IVF, simulated an incarcerated inguinal hernia. Design Case report. Setting A private infertility center and a university hospital. Patient(s) A 31-year-old woman who developed left lower quadrant pain after gonadotropin stimulation for IUI and a tender left inguinal mass after increasing ovarian stimulation for IVF/intracytoplasmic sperm injection. Intervention(s) Surgical excision of a mesothelial cyst of the left Round Ligament and exploration of the left inguinal canal. Main outcome measure(s) Successful surgical excision of left inguinal mass. Result(s) Resolution of symptoms. Conclusion(s) Mesothelial cysts of the Round Ligament should be included in the differential diagnosis of inguinal masses in women. Gonadotropin stimulation might cause previously unrecognized cysts to simulate an incarcerated inguinal hernia, necessitating surgical repair.
