Archives of Gynecology and Obstetrics

, Volume 286, Issue 5, pp 1181–1186

Laparoscopic temporary clipping of uterine artery during laparoscopic myomectomy

  • Giuseppe Vercellino
  • Evrim Erdemoglu
  • Aries Joe
  • Werner Hopfenmueller
  • Bernd Holthaus
  • Christhardt Köhler
  • Achim Schneider
  • Kati Hasenbein
  • Vito Chiantera
General Gynecology

DOI: 10.1007/s00404-012-2419-y

Cite this article as:
Vercellino, G., Erdemoglu, E., Joe, A. et al. Arch Gynecol Obstet (2012) 286: 1181. doi:10.1007/s00404-012-2419-y

Abstract

Purpose

Our aim is to study the feasibility and effect of bilateral laparoscopic temporary occlusion of uterine arteries by special vascular clamps on blood loss during laparoscopic myomectomy.

Methods

Of 166 women with symptomatic uterine myomas necessitating surgical intervention who wished to retain their uteri, 80 underwent laparoscopic uterine artery clipping and myomectomy (experimental group) and 86 received laparoscopic myomectomy only (control group). Main outcome measures were operating time, number and weight of leiomyomas, blood loss, Doppler examination of the uterine arteries and complications of procedure.

Results

In the experimental group the median hemoglobin drop measured on day 3 postoperatively was 1.2 g/dl. In the control group the mean hemoglobin drop measured on day 3 postoperatively was 1.45 g/dl. The time needed to put the clips in place (the time from the opening of the retroperitoneum and the positioning of the clips) varied between 6 and 40 min. No patient required blood transfusion. There were no conspicuous complications.

Conclusion

The use of the clips has proved to be statistically effective in reducing hemoglobin loss during laparoscopic myomectomy.

Keywords

Laparoscopic temporary clipping of uterine artery Laparoscopic myomectomy Blood loss Symptomatic myomas 

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Giuseppe Vercellino
    • 1
  • Evrim Erdemoglu
    • 1
    • 2
  • Aries Joe
    • 1
  • Werner Hopfenmueller
    • 3
  • Bernd Holthaus
    • 4
  • Christhardt Köhler
    • 1
  • Achim Schneider
    • 1
  • Kati Hasenbein
    • 1
  • Vito Chiantera
    • 1
  1. 1.Department of GynecologyCharité UniversitätsmedizinBerlinGermany
  2. 2.Department of Gynecology and Gynecologic OncologySuleyman Demirel UniversityIspartaTurkey
  3. 3.Institute for Medical Statistics and EpidemiologyHumboldt University BerlinBerlinGermany
  4. 4.Department of GynecologySt. Elisabeth HospitalDammeGermany

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