Uterine vascular occlusion in management of leiomyomas: laparoscopy vs laparotomy.
OBJECTIVE
To compare the difference between laparoscopic uterine vessel occlusion (LUVO) and ultra-minilaparotomy (UMLT) uterine vessel occlusion (UVO) in the management of symptomatic uterine myomas with 2-year follow-up.


METHODS
Observational study (Canadian Task Force classification II-3).


METHODS
University-associated hospital.


METHODS
Ninety-one patients with symptomatic leiomyoma.


METHODS
Uterine vessel occlusion via laparoscopy (n=51) or UMLT access (n=40).


RESULTS
Outcome was determined by comparing operative time, complications, successful operation rate, postoperative pain, time to resumption of a regular diet, time to return to work, 2-year symptom control, relapse of symptoms, and repeat intervention between both groups. There were no statistical differences in 2-year symptom control, relapse of symptoms, repeat intervention, surgical complications, and successful operation rate between the 2 groups; however, LUVO yielded shorter operative time, less operative pain, shorter time to resumption of a regular diet, and earlier return to work, compared with UMLT-UVO.


CONCLUSIONS
If UVO is chosen for management of symptomatic uterine myoma, both the LUVO and UMLT are acceptable options, with similar therapeutic outcomes; however, LUVO might yield more rapid postoperative recovery.
Lee
Wen-Ling
WL
Department of Medicine, Cheng-Hsin Rehabilitation Medical Center and Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
Liu
Wei-Min
WM
Cheng
Ming-Huei
MH
Chao
Hsiang-Tai
HT
Fuh
Jong-Ling
JL
Wang
Peng-Hui
PH
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*