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

研究成果: 雜誌貢獻文章同行評審

16 引文 斯高帕斯(Scopus)

摘要

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

原文英語
頁(從 - 到)63-69
頁數7
期刊Journal of the American Association of Gynecologic Laparoscopists
9
發行號1
DOIs
出版狀態已發佈 - 2002
對外發佈

ASJC Scopus subject areas

  • 婦產科

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