Kale A, Aksu S, Terzi H, Demirayak G, Turkay U, Sendag F
a Department of Obstetrics and Gynecology , Kocaeli Derince Training and Research Hospital , Derince, Kocaeli , Turkey.
b Department of Obstetrics and Gynecology , Ege University , Izmir , Turkey.
J Obstet Gynaecol. 2015;35(6):612-5. doi: 10.3109/01443615.2014.990431. Epub 2014 Dec 17.
The purpose of this study was to compare the feasibility, blood loss, duration of surgery and complications between patients in whom both uterine arteries were ligated by surgical clips and cut using a 5-mm ligature at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom uterine arteries were not ligated at the beginning of TLH. In our prospective study, a total of 60 women underwent TLH. Uterine artery ligation (UAL) was done at the beginning of the procedure. Women were divided into TLH + UAL (n = 30) and TLH (n = 30) groups. In TLH group, TLH was done without ligating the uterine arteries at the beginning of the procedure. In TLH + UAL group, TLH was done with ligation of both uterine arteries at the beginning of the procedure. The mean operating time was longer for the TLH group (99.16 ± 7.01) than TLH + UAL group (63.27 ± 7.16). The median total blood loss was higher in TLH group (109.38 ± 33.03 mL) than TLH + UAL group (47.50 ± 8.12 mL). UAL at the beginning of TLH is a technically feasible procedure. It reduces the total blood loss and decreases the time taken for the procedure and length of hospital stay.
本研究的目的是比较在全腹腔镜子宫切除术（TLH）开始时，采用手术夹结扎双侧子宫动脉并使用5毫米结扎线切断子宫动脉的患者与在TLH开始时未结扎子宫动脉的患者之间的可行性、失血量、手术时间和并发症情况。在我们的前瞻性研究中，共有60名女性接受了TLH。在手术开始时进行子宫动脉结扎（UAL）。将女性分为TLH + UAL组（n = 30）和TLH组（n = 30）。在TLH组中，手术开始时不结扎子宫动脉进行TLH。在TLH + UAL组中，手术开始时结扎双侧子宫动脉进行TLH。TLH组的平均手术时间（99.16 ± 7.01）比TLH + UAL组（63.27 ± 7.16）更长。TLH组的中位总失血量（109.38 ± 33.03 mL）高于TLH + UAL组（47.50 ± 8.12 mL）。TLH开始时进行UAL是一种技术上可行的手术。它可减少总失血量，缩短手术时间和住院时间。
