title: Uterine necrosis after laparoscopic uterine vessel dissection for symptomatic fibroid--a case report.
abstract: Laparoscopic dissection of uterine vessels is a new minimally invasive method to treat symptomatic fibroids. A potential complication of uterine artery dissection is uterine necrosis. A woman with a large intramural fibroid underwent laparoscopic dissection of the uterine vessels using ultrasonic activated shears and three months later developed focal uterine necrosis requiring exploratory laparotomy and supracervical hysterectomy. Although uterine artery coagulation and dissection are procedures with a low reported rate of complications, uterine fibroid or focal uterine necrosis can occur.
authors.affiliation: Department of Obstetrics and Gynecology, Endoscopic Training Center, Baby Friendly Hospital, Kladno, Czech Republic.
authors.forename: Z
authors.initials: Z
authors.lastname: Holub
authors.forename: M
authors.initials: M
authors.lastname: Janousek
authors.forename: L
authors.initials: L
authors.lastname: Lukác
authors.forename: L
authors.initials: L
authors.lastname: Kliment
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000009:adverse effects; D007889:Leiomyoma / Q000628:therapy*; D009336:Necrosis; D011183:Postoperative Complications; D014599:Uterus / Q000473:pathology*