Comparison of selective uterine artery double ligation at the isthmic level of uterus and bipolar uterine artery coagulation in total laparoscopic hysterectomy

Abstract In this article, we would like to compare the clinical characteristics and effectiveness of selective uterine artery double ligation and bipolar uterine artery coagulation in total laparoscopic hysterectomy (TLH) retrospectively. TLH was performed on 72 patients with selective uterine arter...

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Published in:Minimally invasive therapy and allied technologies 2010-08, Vol.19 (4), p.224-230
Main Authors: Song, Jae-Yen, Hwang, Seong-Jin, Kim, Min-Joung, Jo, Hyun-Hee, Kim, Sue-Yeon, Choi, Kwang-Eun, Kwon, Dong-Jin, Lew, Young-Ok, Kim, Jang-Heub, Lim, Yong-Taik, Kim, Jin-Hong, Kim, Eun-Jung, Kim, Mee-Ran
Format: Article
Language:English
Subjects:
arteries
Female
Humans
hysterectomy
Hysterectomy - adverse effects
Hysterectomy - instrumentation
Hysterectomy - methods
Hysterectomy, Vaginal - adverse effects
Hysterectomy, Vaginal - instrumentation
Hysterectomy, Vaginal - methods
Intraoperative Complications
laparoscopy
Length of Stay
ligation
Ligation - adverse effects
Ligation - methods
Middle Aged
Retrospective Studies
Uterine Artery - surgery
Uterus
Uterus - surgery
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Summary:Abstract In this article, we would like to compare the clinical characteristics and effectiveness of selective uterine artery double ligation and bipolar uterine artery coagulation in total laparoscopic hysterectomy (TLH) retrospectively. TLH was performed on 72 patients with selective uterine artery double ligation and on 312 patients with uterine artery bipolar coagulation in tertiary university hospital from January 2004 through January 2006. Both groups were similar with respect to age, body mass index, parities, rate of menopause and uterine weight. The mean transfusion, postoperative hospital stay and drain insertion in the selective uterine artery double ligation group were significantly lower than those in the bipolar uterine artery coagulation group in TLH, respectively (p < .05). There were no differences in the hemoglobin, hematocrite change, additional operations, operation time, rate of complication between the two kinds of operation (p > .05). In conclusion, selective uterine artery double ligation in TLH showed lower transfusion rate, less hospitalization and less discomfort due to drain than bipolar uterine artery coagulation. Also, it did not take a longer time for operation and thus provides a feasible and secure method to manage uterine vessels at the level of uterine isthmus inside of the broad ligament.
ISSN:1364-5706
1365-2931
DOI:10.3109/13645706.2010.497012