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Bilateral uterine artery ligation via minilaparotomy for heavy menstrual bleeding
Author(s) -
Hassanin Ibrahim M.A.,
Shahin Ahmed Y.,
AbdelHafeez Ahmed T.,
Salem Hosam T.,
ElNashar Sherif A.
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.07.019
Subject(s) - medicine , hysterectomy , uterine artery , menstrual bleeding , surgery , ligation , laparotomy , prospective cohort study , obstetrics , pregnancy , gestation , biology , genetics
Objective To assess the safety and short‐term efficacy of bilateral uterine artery ligation (UAL) via minilaparotomy for the management of heavy menstrual bleeding (HMB). Methods A prospective study of 30 women with HMB who underwent UAL. The primary outcome was cumulative treatment failure 12 months after the procedure. Treatment failure was defined as the need for hysterectomy during the follow‐up period. Results At 12 months, 6 women had undergone hysterectomy for bleeding, for a cumulative failure rate of 20% (95% CI, 9%–38%). The number of bleeding days was significantly reduced by 11.9 ± 1.5 days ( P < 0.001) and hemoglobin level significantly increased by 1.3 ± 0.15 g/dL ( P < 0.001). Of the 30 women, 24 (80%) were satisfied with the results. No major complications were reported during the procedure or median follow‐up period of 13.2 months. Conclusion Bilateral UAL is a safe and effective minimally invasive procedure that can provide an alternative treatment for HMB.