Comparison of selective uterine artery double ligation at the isthmic level of uterus and bipolar uterine artery coagulation in total laparoscopic hysterectomy.
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.
Song
Jae-Yen
JY
Department of Obstetrics and Gynecology, College of Medicine, the Catholic University of Korea.
Hwang
Seong-Jin
SJ
Kim
Min-Joung
MJ
Jo
Hyun-Hee
HH
Kim
Sue-Yeon
SY
Choi
Kwang-Eun
KE
Kwon
Dong-Jin
DJ
Lew
Young-Ok
YO
Kim
Jang-Heub
JH
Lim
Yong-Taik
YT
Kim
Jin-Hong
JH
Kim
Eun-Jung
EJ
Kim
Mee-Ran
MR
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*