Title

Anterior approach to laparoscopic uterine artery ligation

RIS ID

104858

Publication Details

Aust, T., Reyftmann, L., Rosen, D., Cario, G. & Chou, D. (2011). Anterior approach to laparoscopic uterine artery ligation. Journal of Minimally Invasive Gynecology, 18 (6), 792-795.

Abstract

Herein is described an anterior approach to uterine artery ligation during laparoscopic myomectomy and total laparoscopic hysterectomy. The anterior leaf of the broad ligament is opened and the uterine artery is clipped lateral to its crossing over the ureter. Outcome measures were completion of the procedure laparoscopically and the need for transfusion postoperatively. Thirty-eight myomectomies and 28 difficult total laparoscopic hysterectomies (primarily uteri with large myomas) were performed, with 1 conversion to laparotomy during myomectomy and 1 during hysterectomy, and 1 transfusion after total laparoscopic hysterectomy. The anterior approach to uterine artery ligation is an alternative method for treatment of uterine artery occlusion during laparoscopic myomectomy or hysterectomy performed to treat large myomas.

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Link to publisher version (DOI)

http://dx.doi.org/10.1016/j.jmig.2011.07.008