[Minimally invasive surgical treatment of symptomatic myomas using laparoscopic dissection of uterine vessels: prospective clinical study (part I)].
OBJECTIVE
To assess the clinical outcome, indication and operative technique of laparoscopic dissection of uterine vessels (LDUV) using ultrasonic technique in the treatment of symptomatic fibroids.


METHODS
Prospective case observational clinical study (Part I).


METHODS
Department of Obstetrics and Gynecology, Hospital Kladno.


METHODS
We analysed clinical outcome of laparoscopic dissection of uterine vessels in 46 symptomatic women with fibroids in the period 2000-2002. The operative technique and indication to surgery were studied especially in part I.


RESULTS
All patients underwent successful LDUV procedure without intraoperative complications. Time of surgery ranged from 15-50 minutes (mean 37.3 minutes) in cases of LDUV only. In cases of laparoscopic dissection of uterine vessels combined with myomectomy the mean of surgery was 63.1 minutes (range 35-120). Mean blood loss was less than 25 ml and mean hospital preoperative stay 2.1 days. Only two minor febrile preoperative complications was found (4.3%).


CONCLUSIONS
The procedure of laparoscopic dissection of uterine vessels can be completed within 25-35 minutes with minimal blood loss, short hospital stay and acceptable number of complications.
Holub
Z
Z
Gynekologicko-porodnické oddĕlení, Nemocnice Kladno. holub@seznam.cz
Lukác
J
J
Kliment
L
L
Urbánek
S
S
D000328:Adult; D001158:Arteries / Q000601:surgery; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000098:blood supply / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D014594:Uterine Neoplasms / Q000098:blood supply / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*