Benefit of uterine artery ligation in laparoscopic myomectomy.
OBJECTIVE
To determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes.


METHODS
Single-center, nonrandomized, comparative study.


METHODS
University hospital, tertiary referral center.


METHODS
Ninety women undergoing laparoscopic myomectomy.


METHODS
Laparoscopic myomectomy with or without uterine artery ligation.


METHODS
Surgical results and clinical outcomes.


RESULTS
Fifty-one patients (56.6%) underwent laparoscopic myomectomy with uterine artery ligation (group A), and 39 patients (43.3%) underwent laparoscopic myomectomy alone (group B). The mean operating time was 100.0 ± 33.8 minutes in group A and 90.0 ± 37.1 minutes in group B. Both groups were similar with respect to mean blood loss (72.3 ± 109.0 mL vs. 62.6 ± 77.3 mL). The myoma recurrence rate in group A was significantly less than in group B after a median follow-up period of 11.1 months (2% vs. 13%).


CONCLUSIONS
Both groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.
Bae
Ji Hae
JH
Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University Hospital, Daegu, South Korea.
Chong
Gun Oh
GO
Seong
Won Joon
WJ
Hong
Dae Gy
DG
Lee
Yoon Soon
YS
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D008026:Ligation / Q000009:adverse effects; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D055988:Uterine Artery / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*