The Assessment of Unilateral Uterine Artery Ligation in Radical Abdominal Trachelectomy with Three-Dimensional Power Doppler Ultrasonography

Summary The conservation of uterine arteries during radical trachelectomy has led to considerable debate among gynecologic oncologists. Some authors have reported successful case studies of the ligation of bilateral uterine arteries, but other authors remain unconvinced of the artery ligation procedure. We report a case that employed three-dimensional power Doppler ultrasonography (3D-PDUS) to assess the microvascular pattern of uterine blood circulation after the ligation of a unilateral uterine artery during radical abdominal trachelectomy. The assessment of the uterine vascular circulation via the 3D-PDUS revealed no significant differences in the vascular blood supply of bilateral uterine arteries 4 months postoperatively. [International Journal of Gerontology 2008; 2(1): 22–25]