Laparoscopic bipolar coagulation of uterine vessels

A new method for treating symptomatic fibroids

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

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

Objective: To evaluate the effects of laparoscopic bipolar coagulation of uterine vessels in treating symptomatic fibroids. Design: Prospective clinical study. Setting: University-affiliated tertiary referral center. Patient(s): Eighty-seven women with symptomatic fibroids warranting surgical treatment and wanting to retain their uteri. Intervention(s): Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. Main Outcome Measure(s): Percentage reduction in the dominant fibroid size and clinical response evaluation. Result(s): Eighty-five (97.7%) of 87 patients underwent technically successful laparoscopic coagulation of uterine vessels without intraoperative complications. The mean follow-up time was 10.2 months. Symptomatic improvement was reported in 76 (89.4%) of 85 patients, including 18 (21.2%) with complete resolution of symptoms. Significant reductions in the dominant fibroid size (average, 76%) and the uterine volume (average, 46%) were sonographically demonstrated. Two patients conceived 4 and 9 months, respectively, after treatment. Three (3.5%) premenopausal women became postmenopausal postoperatively. Conclusion(s): Laparoscopic bipolar coagulation of uterine vessels appears to be a promising new method for treating fibroid-related menorrhagia and pelvic pain.

Original languageEnglish
Pages (from-to)417-422
Number of pages6
JournalFertility and Sterility
Volume75
Issue number2
DOIs
Publication statusPublished - 2001
Externally publishedYes

Fingerprint

Leiomyoma
Uterine Artery
Menorrhagia
Pelvic Pain
Intraoperative Complications
Tertiary Care Centers
Uterus
Arteries
Outcome Assessment (Health Care)
Prospective Studies
Therapeutics

Keywords

  • Bipolar coagulation
  • Laparoscopy
  • Ovarian artery
  • Symptomatic fibroid
  • Uterine artery
  • Uterine vessels

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Laparoscopic bipolar coagulation of uterine vessels : A new method for treating symptomatic fibroids. / Liu, Wei Min; Ng, Heung Tat; Wu, Yi Cheng; Yen, Yuan Kuei; Yuan, Chiou Chung.

In: Fertility and Sterility, Vol. 75, No. 2, 2001, p. 417-422.

Research output: Contribution to journalArticle

Liu, Wei Min ; Ng, Heung Tat ; Wu, Yi Cheng ; Yen, Yuan Kuei ; Yuan, Chiou Chung. / Laparoscopic bipolar coagulation of uterine vessels : A new method for treating symptomatic fibroids. In: Fertility and Sterility. 2001 ; Vol. 75, No. 2. pp. 417-422.
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