Laparoscopic Hysterectomy with Prior Uterine Artery Ligation versus Conventional Laparoscopic Hysterectomy

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Helwan University

Abstract

Background: Hysterectomy is one of the most commonly widespread gynecologic surgeries. Total Laparoscopic Hysterectomy (TLH) being a minimally invasive surgical technique has become the new trend.
Aim of the work: The study aims at comparing TLH with previous ligation of the uterine artery at its origin, with conventional TLH regarding operative time, bleeding, intra-operative complications and postoperative follow up.
Patients and Methods: Among 60 women, who are planned for TLH, 30 women experienced TLH with previous ligation of the uterine artery (group A) and the other 30 women underwent conventional TLH (group B).
Results: The operative time of TLH in group A was significantly less than that in group B. Both blood loss and post-operative hospital stay in group A were less than those in group B, and there were no statistically significant differences between both groups. No major intra-operative or post-operative complications occurred in both groups.
Conclusion: Total Laparoscopic Hysterectomy with Prior Uterine Artery Ligation at its origin is safe effective procedure and reducing the duration of surgery. 

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