Laparoscopic bipolar coagulation of uterine vessels: a new method for treating symptomatic fibroids.

Abstract:

OBJECTIVE:To evaluate the effects of laparoscopic bipolar coagulation of uterine vessels in treating symptomatic fibroids. DESIGN:Prospective clinical study. SETTING:University-affiliated tertiary referral center. PATIENT(S):Eighty-seven women with symptomatic fibroids warranting surgical treatment and wanting to retain their uteri. INTERVENTION(S):Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. MAIN OUTCOME MEASURE(S):Percentage reduction in the dominant fibroid size and clinical response evaluation. RESULT(S):Eighty-five (97.7%) of 87 patients underwent technically successful laparoscopic coagulation of uterine vessels without intraoperative complications. The mean follow-up time was 10.2 months. Symptomatic improvement was reported in 76 (89.4%) of 85 patients, including 18 (21.2%) with complete resolution of symptoms. Significant reductions in the dominant fibroid size (average, 76%) and the uterine volume (average, 46%) were sonographically demonstrated. Two patients conceived 4 and 9 months, respectively, after treatment. Three (3.5%) premenopausal women became postmenopausal postoperatively. CONCLUSION(S):Laparoscopic bipolar coagulation of uterine vessels appears to be a promising new method for treating fibroid-related menorrhagia and pelvic pain.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Liu WM,Ng HT,Wu YC,Yen YK,Yuan CC

doi

10.1016/s0015-0282(00)01724-6

keywords:

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

417-22

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(00)01724-6

journal_volume

75

pub_type

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