title: Uterine vascular occlusion in management of leiomyomas: laparoscopy vs laparotomy.
abstract: 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.
authors.affiliation: Department of Medicine, Cheng-Hsin Rehabilitation Medical Center and Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
authors.forename: Wen-Ling
authors.initials: WL
authors.lastname: Lee
authors.forename: Wei-Min
authors.initials: WM
authors.lastname: Liu
authors.forename: Ming-Huei
authors.initials: MH
authors.lastname: Cheng
authors.forename: Hsiang-Tai
authors.initials: HT
authors.lastname: Chao
authors.forename: Jong-Ling
authors.initials: JL
authors.lastname: Fuh
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: 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*