Total laparoscopic hysterectomy with prior uterine artery ligation at its origin

International Journal of Reproductive Medicine
Vidyashree Ganesh PoojariRavishankar Bhat

Abstract

We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual pedicle. Using a prospective study in a gynecologic laparoscopic center, a total of 52 women who underwent TLH from June 2013 to January 2014 were assigned into two groups. In group A, uterine arteries were ligated after the cornual pedicles as done conventionally. In group B, TLH was done by ligating both uterine arteries at the beginning of the procedure. All the other pedicles were desiccated using harmonic scalpel or bipolar diathermy. Uterus with cervix was removed vaginally or by morcellation. The indication for TLH was predominantly dysfunctional uterine bleeding and myomas in both groups. In group A, the average duration of surgery was 71 minutes, when compared to 60 minutes in group B (P < 0.001). In group A, the total blood loss was 70 mL, when compared to 43#x2009;mL in group B (P value < 0.001). There were no major complications in both groups. To conclude, prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complication...Continue Reading

References

Jul 15, 1964·American Journal of Obstetrics and Gynecology·W BATEMAN
Jan 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Rakesh SinhaNandita Patil
Nov 9, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·R D Clayton
Nov 6, 2007·American Journal of Obstetrics and Gynecology·Maura K WhitemanPolly A Marchbanks
Apr 29, 2008·Journal of Minimally Invasive Gynecology·Rakesh SinhaChaitali Mahajan

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Citations

Oct 28, 2019·The Journal of Obstetrics and Gynaecology Research·Burak SezginHakan Camuzcuoğlu
Nov 8, 2018·The Journal of Obstetrics and Gynaecology Research·Natalya DanilyantsLeah R Haworth

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Methods Mentioned

BETA
hysterectomies
hysterectomy
lavage
cesarean section
dissection

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