Laparoskopik Myomektomide Uterin Arter Ve Overyan Arter Ligasyonu Yapılanlarla Arter Ligasyonu Yapılmayan Grupların Perioperatif ve Postoperatif Karşılaştırılması

Abstract

Background

In this prospective study, we aimed to compare the intraoperative complication rates, operation time, preoperative-postoperative AMH and hemoglobin values, and the length of hospital stay for the patients undergoing elective laparoscopic myomectomy made or not made with uterine artery and ovarian artery ligation. 

Methods

In this prospective clinical study, 32 patients undergoing elective laparoscopic myomectomy were divided in two groups as ligated and non-ligated. Primer outcome was determined according to different preoperative-postoperative haemoglobin to  determine blood loss in patients. Seconder outcomes were determined as intraoperative complication rates, operation time, preoperative-postoperative AMH and the length of hospital stay.

Results

Similar demographic characteristics were found for both groups (ligated and non ligated). Additionally, myoma localization, age (39±5 vs 41,2±3,8), preop haemoglobin  (12,7±0,9 vs 12,6 ±1,3), preop and postop AMH (1,9 ±2,2 and 2 ±2,1 vs 1,1 ±1,7 and 1,1 ±1,3) and operation time (69 ±17 vs 75.3 ± 19)  were similar, while postoperative haemoglobin values (10,4±1,1 vs 11,4±1,3) were significantly higher for ligated group than non-ligated when compared.

Conclusions

It was observed that the loss of perioperative and postoperative hemoglobin value is decreased by ligation of uterine and ovarian arteries  during and after the laparoscopic myomectomy without causing any important change of the operation time and AMH values.