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01-11-2012 | General Gynecology

Laparoscopic temporary clipping of uterine artery during laparoscopic myomectomy

Authors: Giuseppe Vercellino, Evrim Erdemoglu, Aries Joe, Werner Hopfenmueller, Bernd Holthaus, Christhardt Köhler, Achim Schneider, Kati Hasenbein, Vito Chiantera

Published in: Archives of Gynecology and Obstetrics | Issue 5/2012

Abstract

Purpose

Our aim is to study the feasibility and effect of bilateral laparoscopic temporary occlusion of uterine arteries by special vascular clamps on blood loss during laparoscopic myomectomy.

Methods

Of 166 women with symptomatic uterine myomas necessitating surgical intervention who wished to retain their uteri, 80 underwent laparoscopic uterine artery clipping and myomectomy (experimental group) and 86 received laparoscopic myomectomy only (control group). Main outcome measures were operating time, number and weight of leiomyomas, blood loss, Doppler examination of the uterine arteries and complications of procedure.

Results

In the experimental group the median hemoglobin drop measured on day 3 postoperatively was 1.2 g/dl. In the control group the mean hemoglobin drop measured on day 3 postoperatively was 1.45 g/dl. The time needed to put the clips in place (the time from the opening of the retroperitoneum and the positioning of the clips) varied between 6 and 40 min. No patient required blood transfusion. There were no conspicuous complications.

Conclusion

The use of the clips has proved to be statistically effective in reducing hemoglobin loss during laparoscopic myomectomy.

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Title: Laparoscopic temporary clipping of uterine artery during laparoscopic myomectomy
Authors: Giuseppe Vercellino
Evrim Erdemoglu
Aries Joe
Werner Hopfenmueller
Bernd Holthaus
Christhardt Köhler
Achim Schneider
Kati Hasenbein
Vito Chiantera
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 5/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2419-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic temporary clipping of uterine artery during laparoscopic myomectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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