Total Laparoscopic Hysterectomy with Prior Uterine Artery Ligation at Its Origin

We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual pedicle. Using a prospective study in a gynecologic laparoscopic center, a total of 52 women who underwent TLH from June 2013 to January 2014 were assigned into two groups. In group A, uterine arteries were ligated after the cornual pedicles as done conventionally. In group B, TLH was done by ligating both uterine arteries at the beginning of the procedure. All the other pedicles were desiccated using harmonic scalpel or bipolar diathermy. Uterus with cervix was removed vaginally or by morcellation. The indication for TLH was predominantly dysfunctional uterine bleeding and myomas in both groups. In group A, the average duration of surgery was 71 minutes, when compared to 60 minutes in group B(P<0.001). In group A, the total blood loss was 70 mL, when compared to 43#x2009;mL in group B (Pvalue < 0.001). There were no major complications in both groups. To conclude, prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complications during surgery.

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Uterine artery ligation at its origin following retroperitoneal space development decreases blood loss during single-port total laparoscopic hysterectomy

Taiwanese Journal of Obstetrics and Gynecology ◽

10.1016/j.tjog.2020.01.015 ◽

2020 ◽

Vol 59 (2) ◽

pp. 262-268

Author(s):

Hyun Jin Choi ◽

Myeong Seon Kim ◽

Tae-Joong Kim

Keyword(s):

Blood Loss ◽

Uterine Artery ◽

Single Port ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Retroperitoneal Space ◽

Artery Ligation ◽

Uterine Artery Ligation

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Uterine artery ligation at the beginning of total laparoscopic hysterectomy reduces total blood loss and operation duration

Journal of Obstetrics and Gynaecology ◽

10.3109/01443615.2014.990431 ◽

2014 ◽

Vol 35 (6) ◽

pp. 612-615 ◽

Cited By ~ 6

Author(s):

A. Kale ◽

S. Aksu ◽

H. Terzi ◽

G. Demirayak ◽

U. Turkay ◽

...

Keyword(s):

Blood Loss ◽

Uterine Artery ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Total Blood Loss ◽

Artery Ligation ◽

Total Blood ◽

Uterine Artery Ligation ◽

Operation Duration

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Total Laparoscopic Hysterectomy with Earlier Uterine Artery Ligation

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2008.01.012 ◽

2008 ◽

Vol 15 (3) ◽

pp. 355-359 ◽

Cited By ~ 19

Author(s):

Rakesh Sinha ◽

Meenakshi Sundaram ◽

Yogesh A. Nikam ◽

Aparna Hegde ◽

Chaitali Mahajan

Keyword(s):

Uterine Artery ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Artery Ligation ◽

Uterine Artery Ligation

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371: Comparison of Selective Uterine Artery Ligation and Blunt Uterine Artery Coagulation in Total Laparoscopic Hysterectomy

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2007.08.350 ◽

2007 ◽

Vol 14 (6) ◽

pp. S134-S135

Author(s):

J.Y. Song ◽

M. Kim

Keyword(s):

Uterine Artery ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Artery Ligation ◽

Uterine Artery Ligation

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Total Laparoscopic Hysterectomy with Bilateral Salpingoophorectomy with Sutures Using Posterior Approach for Uterine Artery Ligation

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2016.08.377 ◽

2016 ◽

Vol 23 (7) ◽

pp. S132

Author(s):

V Marwah ◽

S Dasgupta ◽

P Mittal

Keyword(s):

Uterine Artery ◽

Posterior Approach ◽

Laparoscopic Hysterectomy ◽

Total Laparoscopic Hysterectomy ◽

Artery Ligation ◽

Uterine Artery Ligation

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Microsurgical unilateral laminotomy for bilateral decompression of degenerative lumbar canal stenosis: a comparative study

The Egyptian Journal of Neurology Psychiatry and Neurosurgery ◽

10.1186/s41983-019-0125-4 ◽

2019 ◽

Vol 55 (1) ◽

Author(s):

Mohamed I. Refaat ◽

Amr K. Elsamman ◽

Adham Rabea ◽

Mohamed I. A. Hewaidy

Keyword(s):

Patient Satisfaction ◽

Blood Loss ◽

Minimally Invasive ◽

Invasive Technique ◽

Decompression Surgery ◽

Microsurgical Decompression ◽

Significant Difference ◽

Duration Of Surgery ◽

Group A ◽

Group B

Abstract Background The quest for better patient outcomes is driving to the development of minimally invasive spine surgical techniques. There are several evidences on the use of microsurgical decompression surgery for degenerative lumbar spine stenosis; however, few of these studies compared their outcomes with the traditional laminectomy technique. Objectives The aim of our study was to compare outcomes following microsurgical decompression via unilateral laminotomy for bilateral decompression (ULBD) of the spinal canal to the standard open laminectomy for cases with lumbar spinal stenosis. Subjects and methods Cases were divided in two groups. Group (A) cases were operated by conventional full laminectomy; Group (B) cases were operated by (ULBD) technique. Results from both groups were compared regarding duration of surgery, blood loss, perioperative complication, and postoperative outcome and patient satisfaction. Results There was no statistically significant difference between both groups regarding the improvement of visual pain analogue, while improvement of neurogenic claudication outcome score was significant in group (B) than group (A). Seventy-three percent of group (A) cases and 80% of group (B) stated that surgery met their expectations and were satisfied from the outcome. Conclusion Comparing ULBD with traditional laminectomy showed the efficacy of the minimally invasive technique in obtaining good surgical outcome and patient satisfaction. There was no statistically significant difference between both groups regarding the occurrence of complications The ULBD technique was found to respect the posterior spinal integrity and musculature, accompanied with less blood loss, shorter hospital stays, and shorter recovery periods than the open laminectomy technique.

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