title: Laparoscopic myomectomy with uterine artery ligation: review article and comparative analysis.
abstract: Uterine leiomyomas are one of the most common benign smooth muscle tumors in women, with a prevalence of 20 to 40% in women over the age of 35 years. Although many women are asymptomatic, problems such as bleeding, pelvic pain, and infertility may necessitate treatment. Laparoscopic myomectomy is one of the treatment options for myomas. The major concern of myomectomy either by open method or by laparoscopy is the bleeding encountered during the procedure. Most studies have aimed at ways of reducing blood loss during myomectomy. There are various ways in which bleeding during laparoscopic myomectomy can be reduced, the most reliable of which is ligation of the uterine vessels bilaterally. In this review we propose to discuss the benefits and possible disadvantages of ligating the uterine arteries bilaterally before performing laparoscopic myomectomy.
authors.affiliation: Bombay Endoscopy Academy and Center for Minimally Invasive Surgery, Beams Hospital, Mumbai, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Sinha
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Sundaram
authors.forename: Chaitali
authors.initials: C
authors.lastname: Mahajan
authors.forename: Shweta
authors.initials: S
authors.lastname: Raje
authors.forename: Pratima
authors.initials: P
authors.lastname: Kadam
authors.forename: Gayatri
authors.initials: G
authors.lastname: Rao