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Related Experiment Video

Updated: Jun 27, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

A transient blocking uterine perfusion procedure to decrease operative blood loss in laparoscopic myomectomy.

Chin-Jung Wang1, Leung-To Yuen, Chien-Min Han

  • 1Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Chang Gung University College of Medicine, Taoyuan, Taiwan. wang2260@cgmh.org.tw

Chang Gung Medical Journal
|December 23, 2008
PubMed
Summary
This summary is machine-generated.

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Reversible ligating clips effectively blocked uterine arteries during laparoscopic myomectomy, significantly reducing blood loss. This uterine artery ligation technique proved feasible and safe for managing symptomatic fibroids.

Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Uterine Fibroid Management

Background:

  • Symptomatic uterine fibroids pose a significant clinical challenge.
  • Laparoscopic myomectomy (LM) is a common surgical approach.
  • Reducing operative blood loss during LM is crucial for patient safety.

Purpose of the Study:

  • To evaluate the feasibility of using reversible ligating clips for uterine artery blockage.
  • To assess the effectiveness of this technique in reducing blood loss during LM.
  • To determine the impact on uterine blood supply and patient outcomes.

Main Methods:

  • Twenty women with symptomatic uterine fibroids underwent laparoscopic surgery.
  • Uterine arteries were temporarily ligated using reversible ligating clips.

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Last Updated: Jun 27, 2026

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  • Myomectomy was performed, followed by clip removal.

    • Main Results:

    • The procedure was successful in all patients, with no complications.
    • Median blood loss was 100.0 mL (IQR 56.3-137.5 mL).
    • Menstrual bleeding and bulk symptoms were resolved in 90% and 100% of women, respectively; one patient conceived post-surgery.

    Conclusions:

    • Temporary uterine artery ligation with reversible clips is a feasible and valuable adjunct to LM.
    • This method effectively controls operative blood loss.
    • Uterine perfusion is restored post-procedure, preserving uterine blood supply.