title: Cervical myomectomy with uterine artery ligation at its origin.
abstract: This study was performed to examine the feasibility, blood loss, duration of surgery, and complications in patients with cervical myomas in whom the uterine artery was ligated before myomectomy. Laparoscopic cervical myomectomy was performed in 12 women with cervical myomas and menorrhagia. The uterine artery was ligated at its origin from the internal iliac as an initial step to reduce the blood loss. Myomectomy was subsequently performed, and the myomas were enucleated by incising the capsule anteriorly or posteriorly depending on their location. Hysterectomy was not necessary in any patient. Even large cervical myomas were removed with minimal blood loss. Laparoscopic cervical myomectomy is a minimally invasive and technically safe procedure.
authors.affiliation: Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery, Beams Hospital, Mumbai, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Sinha
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Sundaram
authors.forename: Smita
authors.initials: S
authors.lastname: Lakhotia
authors.forename: Aparna
authors.initials: A
authors.lastname: Hegde
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008026:Ligation; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*