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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2006

01-06-2006 | Original Article

Laparoscopic blockage of uterine artery and myomectomy

A new method of treating symptomatic uterine leiomyomas

Authors: Z. Liang, H. Xu, Y. Chen, Y. Li, Q. Zhang

Published in: Surgical Endoscopy | Issue 6/2006

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Abstract

Background

The goal of this study was to evaluate the effects of laparoscopic coagulation or blockage of the uterine arteries and myomectomy in treating symptomatic myomas.

Methods

A total of 142 women with symptomatic fibroids warranting surgical treatment and wanting to retain their uteri were treated by laparoscopic coagulation or blocking of the uterine arteries and myomectomy.

Results

Most of the 142 patients had multi-myomas of the uterus, as intramural myomas (54), subserous myomas (65), and submucosal myomas (25). The number of myomas in each patient varied from 1 to 4. The size of the myomas in all patients ranged from 2 to 12 cm. In 86 cases (60.4%) the uterine wall was sutured in one layer. Average operating time was 124.2 ± 33.1 min, and average blood loss was 117.8 ± 48.6 ml. Mean postoperative hospital stay was 4.8 ± 1.2 days. All patients underwent technically successful laparoscopic coagulation or blocking of uterine arteries and myomectomy without intraoperative complications. The mean follow-up time was 16.2 months (16–26). Symptomatic improvement was achieved in all patients. Five patients experienced recurrence of myomas.

Conclusions

Laparoscopic coagulation or block of the uterine arteries and myomectomy appears to be a safe, effective, and promising new method for treating symptomatic uterine myomas.
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Metadata
Title
Laparoscopic blockage of uterine artery and myomectomy
A new method of treating symptomatic uterine leiomyomas
Authors
Z. Liang
H. Xu
Y. Chen
Y. Li
Q. Zhang
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 6/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0643-2

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