TY - JOUR
T1 - Short-term advantages of laparoscopic uterine vessel occlusion in the management of women with symptomatic myoma
AU - Wang, Kuan Chin
AU - Chang, Wen Hsun
AU - Liu, Wei Min
AU - Yen, Yuan Kuei
AU - Huang, Nicole
AU - Wang, Peng Hui
N1 - Funding Information:
The authors (Dr Wang and Dr Chang) contributed equally to this article. This work was supported in part by grants from Veterans General Hospitals University System of Taiwan Joint Research Program ( VGHUST99-G4 ), Taipei Veterans General Hospital ( V99C1-085 , V100C-054 , V101C1-128 , V101E4-004 , and V101E5-006 ), and the National Science Council ( NSC 99-2314-B-010-009-MY3 ), Taiwan.
PY - 2012/12
Y1 - 2012/12
N2 - Objective: The aim of this study was to evaluate the short-term therapeutic outcome of women with symptomatic uterine myomas treated with laparoscopic uterine vessel occlusion (LUVO) or laparoscopic myomectomy (LM). Methods: Ninety-five patients with symptomatic, uncomplicated myomas warranting surgical treatment who expressed a strong desire to retain their uterus were included in this study. Fifty-two patients underwent LUVO and 43 underwent LM. The outcome was measured by comparing blood loss, surgical time, postoperative recovery, postoperative pain (visual analog scale), complications, and success rate in both groups. Results: The general characteristics of the patients were similar in both groups. There were no statistical differences in febrile morbidity, complications, success rate, therapeutic efficacy (symptom relief), and satisfaction rate between the two groups. LUVO had advantages over LM, including less surgical time, minimal blood loss, lower visual analog scale score, and rapid postoperative recovery. Conclusions: Both LUVO and LM might be effective in the management of symptomatic myomas in selected cases, but LUVO seemed to be more acceptable and less invasive in this 1-year short-term follow-up.
AB - Objective: The aim of this study was to evaluate the short-term therapeutic outcome of women with symptomatic uterine myomas treated with laparoscopic uterine vessel occlusion (LUVO) or laparoscopic myomectomy (LM). Methods: Ninety-five patients with symptomatic, uncomplicated myomas warranting surgical treatment who expressed a strong desire to retain their uterus were included in this study. Fifty-two patients underwent LUVO and 43 underwent LM. The outcome was measured by comparing blood loss, surgical time, postoperative recovery, postoperative pain (visual analog scale), complications, and success rate in both groups. Results: The general characteristics of the patients were similar in both groups. There were no statistical differences in febrile morbidity, complications, success rate, therapeutic efficacy (symptom relief), and satisfaction rate between the two groups. LUVO had advantages over LM, including less surgical time, minimal blood loss, lower visual analog scale score, and rapid postoperative recovery. Conclusions: Both LUVO and LM might be effective in the management of symptomatic myomas in selected cases, but LUVO seemed to be more acceptable and less invasive in this 1-year short-term follow-up.
KW - Laparoscopic myomectomy
KW - Laparoscopic uterine vessel occlusion
KW - Myoma
UR - http://www.scopus.com/inward/record.url?scp=84871712144&partnerID=8YFLogxK
U2 - 10.1016/j.tjog.2012.09.008
DO - 10.1016/j.tjog.2012.09.008
M3 - Article
C2 - 23276556
AN - SCOPUS:84871712144
SN - 1028-4559
VL - 51
SP - 539
EP - 544
JO - Taiwanese Journal of Obstetrics and Gynecology
JF - Taiwanese Journal of Obstetrics and Gynecology
IS - 4
ER -