Benefit of uterine artery ligation in laparoscopic myomectomy

Objective

To determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes.

Design

Single-center, nonrandomized, comparative study.

Setting

University hospital, tertiary referral center.

Patient(s)

Ninety women undergoing laparoscopic myomectomy.

Intervention(s)

Laparoscopic myomectomy with or without uterine artery ligation.

Main Outcome Measure(s)

Surgical results and clinical outcomes.

Result(s)

Fifty-one patients (56.6%) underwent laparoscopic myomectomy with uterine artery ligation (group A), and 39 patients (43.3%) underwent laparoscopic myomectomy alone (group B). The mean operating time was 100.0 ± 33.8 minutes in group A and 90.0 ± 37.1 minutes in group B. Both groups were similar with respect to mean blood loss (72.3 ± 109.0 mL vs. 62.6 ± 77.3 mL). The myoma recurrence rate in group A was significantly less than in group B after a median follow-up period of 11.1 months (2% vs. 13%).

Conclusion(s)

Both groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.

Key Words: Myoma, laparoscopic uterine artery ligation, recurrence rate