PMID: 9631604Jun 19, 1998Paper

Two uterine arterial management methods in laparoscopic hysterectomy

The Journal of Obstetrics and Gynaecology Research
J SongM A Lee

Abstract

The purpose of this study was to evaluate whether laparoscopic separation with coagulation of the uterine arteries and uterosacral ligaments can be used in an attempt to improve the operative procedure when hysterectomy is carried out by laparoscopic and vaginal method. A prospective study was carried out in 70 women who underwent laparoscopic hysterectomy excluding total laparoscopic hysterectomy. Laparoscopic uterine arterial separation with coagulation (include laparoscopic reperitonization) was performed after laparoscopic detachment of the bladder and resection of the broad ligament (or adnexa) in 39 cases (Group 1). Uterine artery was coagulated by bipolar electrocoagulator and separated from the uterine side wall by scissors. Endoloop tie was applied to the arterial pedicle, if bleeding occurred. Uterine arterial management was performed through the vaginal route (include vaginal reperitonization) after laparoscopic procedure which was finished at the lower part of broad ligament with bladder detachment in 31 cases (Group 2). The average duration of operation was 84.0 min and 101.8 min in Groups 1 and 2, respectively (p < 0.05). The average amount of bleeding was 154.8 ml and 298.4 ml in Groups 1 and 2, respectively (p <...Continue Reading

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Citations

Mar 21, 2007·Archives of Gynecology and Obstetrics·Mert GolMustafa Eminoglu
Nov 6, 2012·Archives of Gynecology and Obstetrics·Takafumi UjihiraDaiki Ogishima
Dec 10, 2003·Obstetrics and Gynecology·Katherine A O'HanlanMirjam Leuchtenberger
Oct 12, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mitsuru ShiotaHiroshi Hoshiai
Dec 18, 2001·The Journal of Urology·Shih-Chieh ChuehMing-Kuen Lai
Aug 15, 2000·American Journal of Obstetrics and Gynecology·S DessoleP L Cherchi
Nov 16, 2007·The Journal of Obstetrics and Gynaecology Research·Yun-Hsuen LimMuhammad A Jamil
Jul 21, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jae-Yen SongMee-Ran Kim

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