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

103 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

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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