Benefit of uterine artery ligation in laparoscopic myomectomy  

Oleh:

Ji, Hae Bae ; Gun, Oh Chong ; Won, Joon Seong ; Dae, Gy Hong ; Yoon, Soon Lee

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 02 (Feb. 2011), page 775-778.
Topik: UTERINE ARTERY; Myoma; laparoscopic uterine artery ligation; recurrence rate

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes. Design Single-center, nonrandomized, comparative study. Setting University hospital, tertiary referral center. Patient(s) Ninety women undergoing laparoscopic myomectomy. Intervention(s) Laparoscopic myomectomy with or without uterine artery ligation. Main Outcome Measure(s) Surgical results and clinical outcomes. Result(s) Fifty-one patients (56.6%) underwent laparoscopic myomectomy with uterine artery ligation (group A), and 39 patients (43.3%) underwent laparoscopic myomectomy alone (group B). The mean operating time was 100.0 ± 33.8 minutes in group A and 90.0 ± 37.1 minutes in group B. Both groups were similar with respect to mean blood loss (72.3 ± 109.0 mL vs. 62.6 ± 77.3 mL). The myoma recurrence rate in group A was significantly less than in group B after a median follow-up period of 11.1 months (2% vs. 13%). Conclusion(s) Both groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.

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