title: Benefit of uterine artery ligation in laparoscopic myomectomy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University Hospital, Daegu, South Korea.
authors.forename: Ji Hae
authors.initials: JH
authors.lastname: Bae
authors.forename: Gun Oh
authors.initials: GO
authors.lastname: Chong
authors.forename: Won Joon
authors.initials: WJ
authors.lastname: Seong
authors.forename: Dae Gy
authors.initials: DG
authors.lastname: Hong
authors.forename: Yoon Soon
authors.initials: YS
authors.lastname: Lee
mesh_terms: 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*