Agdi M, Valenti D, Tulandi T. Am J Obstet Gynecol 2008;199:482.e1-482.e3.
OBJECTIVE: The objective of the study was to evaluate intraabdominal
adhesions after uterine artery embolization (UAE).
STUDY DESIGN: This was a case-control study of patients who underwent
hysterectomy after UAE (UAE group) in the years 2000-2006. The
control group consisted of patients who underwent hysterectomy for
uterine myoma in the same week.
RESULTS: We encountered 30 patients in the UAE group and 72 in the
control group. The age of patients in the UAE group was 44.9 0.8
years and 44.6 0.6 years in the control group. In the UAE group, the
diameter of the dominant myoma in patients with adhesions (11.3
1.9 cm) was larger than in those without adhesions (5.6 0.6 cm; P
.003; confidence interval, 1.9-8.5). The prevalence of adhesion inthe UAE group (20%) was higher than in the control group (1.4%; P
.002; odds ratio, 17.2).
CONCLUSION: UAE is associated with intraabdominal adhesion formation.
Large myoma predisposes to adhesion formation.
Key words: adhesion, bowel obstruction, fibroid, leiomyoma,
myoma, uterine artery embolization