• Users Online: 5176
  • Print this page
  • Email this page

 
Table of Contents
VIDEO ARTICLE
Year : 2022  |  Volume : 11  |  Issue : 2  |  Page : 114-115

A video article: The laparoscopic uterine artery occlusion in combination with myomectomy for uterine myoma


Department of Gynecology and Obstetrics, Tenth People's Hospital Affiliated to Tongji University, Shanghai, China

Date of Submission19-Jan-2021
Date of Decision12-Mar-2021
Date of Acceptance26-Mar-2021
Date of Web Publication4-May-2022

Correspondence Address:
Dr. Zhongping Cheng
Department of Gynecology and Obstetrics, Tenth People's Hospital Affiliated to Tongji University, Shanghai
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GMIT.GMIT_10_21

Rights and Permissions

How to cite this article:
Ai G, Huang W, Yang W, Liu J, Luo N, Guo J, Cheng Z. A video article: The laparoscopic uterine artery occlusion in combination with myomectomy for uterine myoma. Gynecol Minim Invasive Ther 2022;11:114-5

How to cite this URL:
Ai G, Huang W, Yang W, Liu J, Luo N, Guo J, Cheng Z. A video article: The laparoscopic uterine artery occlusion in combination with myomectomy for uterine myoma. Gynecol Minim Invasive Ther [serial online] 2022 [cited 2022 May 20];11:114-5. Available from: https://www.e-gmit.com/text.asp?2022/11/2/114/344782




  Objective Top


The aim of this study is to illustrate the surgical method of mymoa.


  Design Top


A surgical video demonstrated the technique with narrated video footage [Video 1].


  Setting Top


Currently, hysterectomy caused by myoma accounting for 39% of all hysterectomies annually in US.[1] However, we design a novel method to preserve their uterus and decrease the recurrence rate according to a video report.


  Interventions Top


The important surgical process contained that we found that the uterine body was irregular enlargement with a 7.5 cm diameter intramural fibroid in the left anterior wall of the uterus. We chose the Cheng's triangle region between the external iliac blood vessels, the round ligament and the infundibulopelvic ligament as the operative approach [Figure 1]. We opened the peritoneum, exposed the ureter and the internal iliac artery, separated and occluded the uterine artery. The same procedures were performed at the other side. Last, we opened the myoma pseudocapsule and completely exfoliated it. The article's ethical was approved by the Ethics Committee of Shanghai Tenth People's Hospital.
Figure 1: Cheng's triangle region is between the external iliac blood vessels, the round ligament and the infundibulopelvic ligament as the operative approach. http://www.apagemit.com/page/video/show.aspx?num=265

Click here to view



  Conclusion Top


Our group demonstrated that compared with LM, mean blood loss was significantly lower in laparoscopic myomectomy (LM) + uterine artery occlusion (UAO), the recurrence rate was only 3%, and the complications did not increase significantly. The results suggested UAO + LM was superior to LM or UAE.[2],[3],[4] To sum up, this method could be considered as cytoreduction, which treated myomas and reduce recurrence rate with cellular level.

Financial support and sponsorship

Nil.

Conflicts of interest

Prof. Zhongping Cheng, an editorial board member at Gynecology and Minimally Invasive Therapy, had no role in the peer review process of or decision to publish this article. The other authors declared no conflicts of interest in writing this paper.



 
  References Top

1.
De La Cruz MS, Buchanan EM. Uterine fibroids: Diagnosis and treatment. Am Acad Fam Physician 2017;95:100-7.  Back to cited text no. 1
    
2.
Yang W. Multicentre study to evaluate the clinical effects of laparoscopic uterine artery occlusion in combination with myomectomy to treat symptomatic uterine leiomyomas. Eur J Obstet Gynecol Reprod Biol 2016;204:9-15.  Back to cited text no. 2
    
3.
Liu M, Cheng Z, Dai H, Qu X, Kang L. Long-term efficacy and quality of life associated with laparoscopic bilateral uterine artery occlusion plus partial resection of symptomatic adenomyosis. Eur J Obstet Gynecol Reprod Biol 2014;176:20-4.  Back to cited text no. 3
    
4.
Kang L, Gong J, Cheng Z, Dai H, Liping H. Clinical application and midterm results of laparoscopic partial resection of symptomatic adenomyosis combined with uterine artery occlusion. J Minim Invasive Gynecol 2009;16:169-73.  Back to cited text no. 4
    


    Figures

  [Figure 1]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
Objective
Design
Setting
Interventions
Conclusion
References
Article Figures

 Article Access Statistics
    Viewed128    
    Printed2    
    Emailed0    
    PDF Downloaded14    
    Comments [Add]    

Recommend this journal