title: Laparoscopic transient uterine artery occlusion and myomectomy for symptomatic uterine myoma.
abstract: OBJECTIVE
  To compare clinical outcomes of laparoscopic transient uterine artery ligation plus myomectomy (LTUAL) to simple laparoscopic myomectomy (LM) for symptomatic myomas.
  
  
  METHODS
  Comparative observational study.
  
  
  METHODS
  Medical centers.
  
  
  METHODS
  One hundred sixty-seven patients with symptomatic myomas.
  
  
  METHODS
  Eighty-four patients underwent LTUAL and LM; 83 patients underwent LM only.
  
  
  METHODS
  Operative time, blood loss, gonadal hormone level, uterine artery resistance index, menorrhea, pregnancy rate, and recurrence rate of myoma.
  
  
  RESULTS
  The intraoperative blood loss in the LTUAL group was lower than in the LM group. The menstrual blood volume (MBV) and the menstrual period of the LTUAO group was unchanged after operation relative to the prediseased volume. No significant difference was found in the resistance index of the uterine artery blood flow, the recurrence rate, and the fertility rate between the LTUAL and LM groups.
  
  
  CONCLUSIONS
  LTUAL and LM are a promising surgical treatment for symptomatic uterine myoma and did not produce any appreciable adverse effect on fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Southwest Hospital, Third Military Medical University, Chongqing, People's Republic of China.
authors.forename: Lubin
authors.initials: L
authors.lastname: Liu
authors.forename: Yuyan
authors.initials: Y
authors.lastname: Li
authors.forename: Huicheng
authors.initials: H
authors.lastname: Xu
authors.forename: Yong
authors.initials: Y
authors.lastname: Chen
authors.forename: Guangjin
authors.initials: G
authors.lastname: Zhang
authors.forename: Zhiqing
authors.initials: Z
authors.lastname: Liang
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D008026:Ligation; D011183:Postoperative Complications; D011247:Pregnancy; D018873:Pregnancy Rate; D012008:Recurrence; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*; D014655:Vascular Resistance