title: Comparison of selective uterine artery double ligation at the isthmic level of uterus and bipolar uterine artery coagulation in total laparoscopic hysterectomy.
abstract: In this article, we would like to compare the clinical characteristics and effectiveness of selective uterine artery double ligation and bipolar uterine artery coagulation in total laparoscopic hysterectomy (TLH) retrospectively. TLH was performed on 72 patients with selective uterine artery double ligation and on 312 patients with uterine artery bipolar coagulation in tertiary university hospital from January 2004 through January 2006. Both groups were similar with respect to age, body mass index, parities, rate of menopause and uterine weight. The mean transfusion, postoperative hospital stay and drain insertion in the selective uterine artery double ligation group were significantly lower than those in the bipolar uterine artery coagulation group in TLH, respectively (p < .05). There were no differences in the hemoglobin, hematocrite change, additional operations, operation time, rate of complication between the two kinds of operation (p > .05). In conclusion, selective uterine artery double ligation in TLH showed lower transfusion rate, less hospitalization and less discomfort due to drain than bipolar uterine artery coagulation. Also, it did not take a longer time for operation and thus provides a feasible and secure method to manage uterine vessels at the level of uterine isthmus inside of the broad ligament.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, the Catholic University of Korea.
authors.forename: Jae-Yen
authors.initials: JY
authors.lastname: Song
authors.forename: Seong-Jin
authors.initials: SJ
authors.lastname: Hwang
authors.forename: Min-Joung
authors.initials: MJ
authors.lastname: Kim
authors.forename: Hyun-Hee
authors.initials: HH
authors.lastname: Jo
authors.forename: Sue-Yeon
authors.initials: SY
authors.lastname: Kim
authors.forename: Kwang-Eun
authors.initials: KE
authors.lastname: Choi
authors.forename: Dong-Jin
authors.initials: DJ
authors.lastname: Kwon
authors.forename: Young-Ok
authors.initials: YO
authors.lastname: Lew
authors.forename: Jang-Heub
authors.initials: JH
authors.lastname: Kim
authors.forename: Yong-Taik
authors.initials: YT
authors.lastname: Lim
authors.forename: Jin-Hong
authors.initials: JH
authors.lastname: Kim
authors.forename: Eun-Jung
authors.initials: EJ
authors.lastname: Kim
authors.forename: Mee-Ran
authors.initials: MR
authors.lastname: Kim
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D007431:Intraoperative Complications; D007902:Length of Stay; D008026:Ligation / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D012189:Retrospective Studies; D055988:Uterine Artery / Q000601:surgery*; D014599:Uterus / Q000601:surgery*