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Updated: Jun 19, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Uterine vascular occlusion in management of leiomyomas: laparoscopy vs laparotomy
Wen-Ling Lee1, Wei-Min Liu, Ming-Huei Cheng
1Department of Medicine, Cheng-Hsin Rehabilitation Medical Center and Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
Study Objective:
To compare the difference between laparoscopic uterine vessel occlusion (LUVO) and ultra-minilaparotomy (UMLT) uterine vessel occlusion (UVO) in the management of symptomatic uterine myomas with 2-year follow-up.
Design:
Observational study (Canadian Task Force classification II-3).
Setting:
University-associated hospital.
Patients:
Ninety-one patients with symptomatic leiomyoma.
Interventions:
Uterine vessel occlusion via laparoscopy (n=51) or UMLT access (n=40).
Measurements And Main Results:
Outcome was determined by comparing operative time, complications, successful operation rate, postoperative pain, time to resumption of a regular diet, time to return to work, 2-year symptom control, relapse of symptoms, and repeat intervention between both groups. There were no statistical differences in 2-year symptom control, relapse of symptoms, repeat intervention, surgical complications, and successful operation rate between the 2 groups; however, LUVO yielded shorter operative time, less operative pain, shorter time to resumption of a regular diet, and earlier return to work, compared with UMLT-UVO.
Conclusion:
If UVO is chosen for management of symptomatic uterine myoma, both the LUVO and UMLT are acceptable options, with similar therapeutic outcomes; however, LUVO might yield more rapid postoperative recovery.
