Sinha Rakesh, Sundaram Meenakshi, Mahajan Chaitali, Raje Shweta, Kadam Pratima, Rao Gayatri
Bombay Endoscopy Academy and Center for Minimally Invasive Surgery, Beams Hospital, Mumbai, India.
J Gynecol Endosc Surg. 2011 Jan;2(1):3-10. doi: 10.4103/0974-1216.85272.
Uterine leiomyomas are one of the most common benign smooth muscle tumors in women, with a prevalence of 20 to 40% in women over the age of 35 years. Although many women are asymptomatic, problems such as bleeding, pelvic pain, and infertility may necessitate treatment. Laparoscopic myomectomy is one of the treatment options for myomas. The major concern of myomectomy either by open method or by laparoscopy is the bleeding encountered during the procedure. Most studies have aimed at ways of reducing blood loss during myomectomy. There are various ways in which bleeding during laparoscopic myomectomy can be reduced, the most reliable of which is ligation of the uterine vessels bilaterally. In this review we propose to discuss the benefits and possible disadvantages of ligating the uterine arteries bilaterally before performing laparoscopic myomectomy.
子宫平滑肌瘤是女性最常见的良性平滑肌肿瘤之一，35岁以上女性的患病率为20%至40%。尽管许多女性没有症状，但出血、盆腔疼痛和不孕等问题可能需要治疗。腹腔镜子宫肌瘤切除术是子宫肌瘤的治疗选择之一。无论是开放手术还是腹腔镜手术，子宫肌瘤切除术的主要关注点都是手术过程中遇到的出血问题。大多数研究都致力于减少子宫肌瘤切除术中失血的方法。减少腹腔镜子宫肌瘤切除术出血的方法有多种，其中最可靠的方法是双侧结扎子宫血管。在本综述中，我们建议讨论在进行腹腔镜子宫肌瘤切除术之前双侧结扎子宫动脉的益处和可能的弊端。
