The effect of lateral uterine artery dissection on clinical outcomes in laparoscopic myomectomy: a prospective randomized study

Autor:	Zdenek Holub, Antonin Jabor, S. Urbanek, L. Kliment, Jan Lukac, E. Shibalova
Rok vydání:	2004
Předmět:	medicine.medical_specialty medicine.diagnostic_test Uterine fibroids business.industry Obstetrics and Gynecology Laparoscopic myomectomy Interventional radiology medicine.disease Surgery Dissection medicine.artery medicine Prospective randomized study Hemoglobin business Uterine artery Complication
Zdroj:	Gynecological Surgery. 1:253-258
ISSN:	1613-2084 1613-2076
DOI:	10.1007/s10397-004-0064-6
Popis:	This study assessed the effect of lateral uterine artery dissection (LUAD) on clinical outcomes in laparoscopic myomectomy (LM). Fifteen women with symptomatic fibroids (dominant fibroid size: 3–6 cm) were randomly allocated to laparoscopic myomectomy (group 1) and 16 women to the combined operative procedures LM and LAUD (group 2). We assessed the clinical outcomes: intra-operative and postoperative blood loss, operating time, hospital stay, hemoglobin fall, inflammatory response and tissue markers [C-reactive protein (CRP), creatinin kinase and white blood cells (WBC)]. The mean operating time was 69.5 min in group 1 and 76.5 min in the group 2, and the mean length of hospital stay was 2.6 days versus 2.1 days, respectively (P>0.05). For the laparoscopic myomectomy and combined operative procedure, respectively, the intra-operative blood loss was 134 ml (10–400 ml) and 93.7 ml (10–200 ml) (P>0.05); the difference (92.4 ml vs. 46 ml ) in estimated postoperative blood loss was statistically significant (P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b00a4140edeac7754531e3558df24e9c https://doi.org/10.1007/s10397-004-0064-6 Zobrazit plný text záznamu Plný text ve formátu PDF