Multiple myomectomy

Lock, Frank R.

doi:10.1016/0002-9378(69)90597-3

Cited by 25 publications

(10 citation statements)

References 9 publications

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“…One of them was a special clamp to compress the uterine and ovarian arteries (13), and another was rubber-shod sponge forceps for occlusion of the uterine and ovarian arteries (14). Another study reported that using a catheter to encircle the lower uterine segment could occlude the uterine vessels (15).…”

Section: Discussionmentioning

confidence: 99%

A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma

Ghannadan

Alborzi

2009

Fertility and Sterility

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Section: Discussionmentioning

confidence: 99%

A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma

Ghannadan

Alborzi

2009

Fertility and Sterility

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“…In open myomectomy, temporary haemostatic occlusion of the uterine blood supply was first described in 1932 using metal clamps [17] following the even earlier ligation of the uterine arteries [18]. This technique of total vascular occlusion of the uterine blood supply is still recommended by some authors [19].…”

Section: Discussionmentioning

confidence: 99%

Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases

et al. 2007

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Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1-30), with an average total weight of 421 g (range 160-960 g). Mean Hb pre-vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply.

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“…Though clamps [8], rubber-shod sponge forceps [9], rubber catheter tourniquets [lo], and neosynephris [ 111 have been used to minimize blood loss, the COz laser is particularly effective in minimizing such a loss.…”

Section: Discussionmentioning

confidence: 99%

“…In a span of 140 years, myomectomy has progressed from Amussta of Paris removing a pedunculated uterine myoma to Bonney publishing results in England followed by Kelly One overall consideration warrants attention during myomectomy: minimizing blood loss. Though clamps [8], rubber-shod sponge forceps [9], rubber catheter tourniquets [lo], and neosynephris [ 111 have been used to minimize blood loss, the COz laser is particularly effective in minimizing such a loss.…”

Section: Discussionmentioning

confidence: 99%

Micro‐laser myomectomy technique to enhance reproductive potential: A preliminary report

McLaughlin

1982

Lasers Surg Med

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Uterine myomas may be removed utilizing the carbon dioxide laser by direct and indirect vaporization, or by direct and indirect excision. The advantages of utilizing the CO2 laser are (1) improved hemostasis; (2) more precision, thus removing only abnormal tissue; and (3) the ability to remove fibroids from previously inaccessible areas. A description of the micro-surgical technique for myomectomy in eight patients is discussed. No major complications were encountered with this new technique, which will require long-term follow-up in a larger series of patients to define more precisely its role in gynecologic surgery.

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Multiple myomectomy

Cited by 25 publications

References 9 publications

A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma

A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma

Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases

Micro‐laser myomectomy technique to enhance reproductive potential: A preliminary report

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