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Updated: Aug 17, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Temporary, transvaginal occlusion of the uterine arteries: a feasibility and safety study
Moises Lichtinger1, Sandy Herbert, Al Memmolo
1Department of Obstetrics and Gynecology, Holy Cross Medical Group, Fort Lauderdale, Florida 33308, USA.
A Doppler-guided, transvaginally applied paracervical clamp safely and effectively occluded the uterine arteries in 10 women. Following closure of the clamp, blood flow through the uterine arteries stopped; flow returned immediately upon clamp release. Average time of clamp closure was 26 minutes (range 10-59 min). No ureter was obstructed by clamp closure.
A Doppler-guided, transvaginally applied paracervical clamp safely and effectively occluded the uterine arteries in 10 women. Following closure of the clamp, blood flow through the uterine arteries stopped; flow returned immediately upon clamp release. Average time of clamp closure was 26 minutes (range 10-59 min). No ureter was obstructed by clamp closure.