Open AccessLaparoscopic myomectomy with uterine artery ligation: Review article and comparative analysis
Author(s) -
Rakesh Sinha,
Meenakshi Sundaram,
Chaitali Mahajan,
Shweta Raje,
Pratima Kadam,
Gayatri Rao
Publication year - 2011
Publication title -
journal of gynecological endoscopy and surgery
Language(s) - English
Resource type - Journals
eISSN - 0974-1216
pISSN - 0974-7818
DOI - 10.4103/0974-1216.85272
Subject(s) - medicine , ligation , laparoscopy , asymptomatic , uterine artery , pelvic pain , infertility , blood loss , leiomyoma , uterine leiomyoma , surgery , myometrium , myoma , uterine myomectomy , uterus , pregnancy , gestation , biology , genetics
Uterine leiomyomas are one of the most common benign smooth muscle tumors in women, with a prevalence of 20 to 40% in women over the age of 35 years. Although many women are asymptomatic, problems such as bleeding, pelvic pain, and infertility may necessitate treatment. Laparoscopic myomectomy is one of the treatment options for myomas. The major concern of myomectomy either by open method or by laparoscopy is the bleeding encountered during the procedure. Most studies have aimed at ways of reducing blood loss during myomectomy. There are various ways in which bleeding during laparoscopic myomectomy can be reduced, the most reliable of which is ligation of the uterine vessels bilaterally. In this review we propose to discuss the benefits and possible disadvantages of ligating the uterine arteries bilaterally before performing laparoscopic myomectomy.