International Conference and Expo on Medical Sonography
Toronto, Canada
Musarrat Hasan
Institute of Ultrasound Imaging Karachi -Pakisatn
Title: Colour Doppler Misoprostol Response Study(CDMRS): an evaluation tool for patients awaiting myomectomy.
Biography
Biography: Musarrat Hasan
Abstract
Uterine myomas( fibroids) are benign tumors of the uterus. Myomectomy ,the surgical removal of myoma, is an important treatment option. The major problem with myomectomy is excessive bleeding. Many interventions have been used to reduce bleeding during myomectomy. Misoprostol produces uterine contraction thereby reducing blood supply to the myometrium and in the myoma, it can be used as an alternative to uterine artery occlusion or paracervical tourniquet to reduce blood flow during myomectomy.
Baseline study of all the patients was done before insertion of misoprostol or placebo and the largest selected fibroid in the patients with uterine fibroids was evaluated for its volume, contour, degenerative changes and perfusion by Ultrasound Doppler.
Resistive index (RI) was measured pre and post tablet insertion, after 20 minutes, and again reevaluated 40 minutes post insertion
In conclusion, we suggest that all patients who are planned for myomectomy should have prior CDMRS to evaluate the degree of vascularity and to assess if they have an appropriate response to misoprostol administered rectally, so that there is minimal or no blood loss during surgery. This preoperative assessment will decrease physician apprehension, with lesser intraoperative blood loss and morbidity.