Authors: Z. Holub; J. Lukáč; L. Kliment; Š. Urbánek Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Kladno, primář doc. MUDr. Zdeněk Holub, CSc. Published in: Ceska Gynekol 2003; (3): 147-152 Category:
Objective: To assess the clinical outcome, indication and operative technique of laparoscopicdissection of uterine vessels (LDUV) using ultrasonic technique in the treatment of symptomaticfibroids. Design: Prospective case observational clinical study (Part I).Setting: Department of Obstetrics and Gynecology, Hospital Kladno.Methods: We analysed clinical outcome of laparoscopic dissection of uterine vessels in 46 symptomaticwomen with fibroids in the period 2000 - 2002. The operative technique and indication tosurgery were studied especially in part I.Results: All patients underwent successful LDUV procedure without intraoperative complications.Time of surgery ranged from 15 - 50 minutes (mean 37.3 minutes) in cases of LDUV only. In cases oflaparoscopic dissection of uterine vessels combined with myomectomy the mean of surgery was 63.1minutes (range 35 - 120). Mean blood loss was less than 25 ml and mean hospital pooperative stay2.1 days. Only two minor febrile pooperative complications was found (4.3%).Conclusion: The procedure of laparoscopic dissection of uterine vessels can be completed within 25 - 35 minutes with minimal blood loss, short hospital stay and acceptable number of complications.
Key words: laparoscopy, dissection uterine vessels, myoma, ultrasonic technique
Don‘t have an account? Create new account
Enter the email address that you registered with. We will send you instructions on how to set a new password.
