title: Laparoscopic bipolar coagulation of uterine vessels: a new method for treating symptomatic fibroids.
abstract: OBJECTIVE
  To evaluate the effects of laparoscopic bipolar coagulation of uterine vessels in treating symptomatic fibroids.
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  University-affiliated tertiary referral center.
  
  
  METHODS
  Eighty-seven women with symptomatic fibroids warranting surgical treatment and wanting to retain their uteri.
  
  
  METHODS
  Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries.
  
  
  METHODS
  Percentage reduction in the dominant fibroid size and clinical response evaluation.
  
  
  RESULTS
  Eighty-five (97.7%) of 87 patients underwent technically successful laparoscopic coagulation of uterine vessels without intraoperative complications. The mean follow-up time was 10.2 months. Symptomatic improvement was reported in 76 (89.4%) of 85 patients, including 18 (21.2%) with complete resolution of symptoms. Significant reductions in the dominant fibroid size (average, 76%) and the uterine volume (average, 46%) were sonographically demonstrated. Two patients conceived 4 and 9 months, respectively, after treatment. Three (3.5%) premenopausal women became postmenopausal postoperatively.
  
  
  CONCLUSIONS
  Laparoscopic bipolar coagulation of uterine vessels appears to be a promising new method for treating fibroid-related menorrhagia and pelvic pain.
authors.affiliation: Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei, 201, Sec. 2, Shih-Pai Rd., (112) Taipei, Taiwan.
authors.forename: W M
authors.initials: WM
authors.lastname: Liu
authors.forename: H T
authors.initials: HT
authors.lastname: Ng
authors.forename: Y C
authors.initials: YC
authors.lastname: Wu
authors.forename: Y K
authors.initials: YK
authors.lastname: Yen
authors.forename: C C
authors.initials: CC
authors.lastname: Yuan
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D004621:Embolization, Therapeutic; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000000981:diagnostic imaging / Q000601:surgery*; D007986:Luteinizing Hormone / Q000097:blood; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply; D011446:Prospective Studies; D013525:Surgical Instruments; D016896:Treatment Outcome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*
chemical_list: D004958:Estradiol; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone