Comparison of two procedures for laparoscopic-assisted vaginal hysterectomy of large myomatous uteri

Yuan Kuei Yen, Wei Min Liu, Chiou Chung Yuan, Heung Tat Ng

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Study Objective. To evaluate whether laparoscopic bipolar coagulation of uterine vessels (LBCUV) and supracervical amputation improve laparoscopic-assisted vaginal hysterectomy (LAVH). Design. Prospective, randomized, longitudinal study (Canadian Task Force classification II-1). Setting. Private practice, university-affiliated hospital. Patients. Sixty-four women (age 31-52 yrs) with symptomatic myomatous uteri larger than 12 weeks on bimanual examination. Interventions. LAVH with or without LBCUV and laparoscopic supracervical amputation followed by trachelectomy. Measurements and Main Results. LBCUV and laparoscopic supracervical amputation followed by trachelectomy and removal of the specimen vaginally were performed successfully in 29 women (group A). Hysterectomy was performed successfully in 32 comparable patients (group B) with severing of the round ligament, ovarian ligament, or infundibulopelvic ligament, and preparation of the bladder flap in the laparoscopic phase, and severing of uterine vessels and cardinal-uterosacral ligament complex through the vagina. Average blood loss was 169.8 and 308.7 ml in groups A and B, respectively (p

Original languageEnglish
Pages (from-to)63-69
Number of pages7
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume9
Issue number1
DOIs
Publication statusPublished - 2002
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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