title: Uterine artery ligation at the beginning of total laparoscopic hysterectomy reduces total blood loss and operation duration.
abstract: The purpose of this study was to compare the feasibility, blood loss, duration of surgery and complications between patients in whom both uterine arteries were ligated by surgical clips and cut using a 5-mm ligature at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom uterine arteries were not ligated at the beginning of TLH. In our prospective study, a total of 60 women underwent TLH. Uterine artery ligation (UAL) was done at the beginning of the procedure. Women were divided into TLH + UAL (n = 30) and TLH (n = 30) groups. In TLH group, TLH was done without ligating the uterine arteries at the beginning of the procedure. In TLH + UAL group, TLH was done with ligation of both uterine arteries at the beginning of the procedure. The mean operating time was longer for the TLH group (99.16 ± 7.01) than TLH + UAL group (63.27 ± 7.16). The median total blood loss was higher in TLH group (109.38 ± 33.03 mL) than TLH + UAL group (47.50 ± 8.12 mL). UAL at the beginning of TLH is a technically feasible procedure. It reduces the total blood loss and decreases the time taken for the procedure and length of hospital stay.
authors.affiliation: a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Kale
authors.affiliation: a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Aksu
authors.affiliation: a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Terzi
authors.affiliation: a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Demirayak
authors.affiliation: a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Turkay
authors.affiliation: b Department of Obstetrics and Gynecology , Ege University , Izmir , Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Sendag
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000517:prevention & control; D011446:Prospective Studies; D013525:Surgical Instruments; D055988:Uterine Artery / Q000601:surgery*
keywords: Blood loss; hospital stay; operating time; total laparoscopic hysterectomy; uterine artery ligation