Related Experiment Videos
Laparoscopic bipolar coagulation of uterine vessels: a new method for treating symptomatic fibroids
1Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei, 201, Sec. 2, Shih-Pai Rd., (112) Taipei, Taiwan.
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.