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Updated: Jun 3, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Evaluations of pre-thromboembolic state in patients undergoing total abdominal or laparoscopic hysterectomy]
Yun-fei GAO1, Guang-liang ZHANG, Mei ZHONG
1Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. gyfgz007@126.com
Objective:
To investigate the influences of total abdominal and laparoscopically hysterectomy on coagulation and fibrinolytic functions.
Methods:
Blood samples were taken from 20 patients without high-risk factor of thrombosis before and after total abdominal and laparoscopically hysterectomy. The values of PT, APTT, FG, D-Dimer and AT-III were measured.
Results:
The values of PT and AT-III significantly decreased while D-Dimer significantly increased after the operations. These changes were more obvious in patients undergoing abdominal hysterectomy. No significant changes in APTT or FG were noted after hysterectomy.
Conclusions:
Patients undergoing hysterectomy are at risk of developing thromboembolism, but the laparoscopic approach can significantly lower this risk as compared with abdominal hysterectomy.
