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

Guihai Ai; Wei Huang; Weihong Yang; Jie Liu; Ning Luo; Jing Guo; Zhongping Cheng

doi:10.4103/GMIT.GMIT_10_21

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

Guihai Ai, Wei Huang, Weihong Yang, Jie Liu, Ning Luo, Jing Guo, Zhongping Cheng
Department of Gynecology and Obstetrics, Tenth People's Hospital Affiliated to Tongji University, Shanghai, China

Date of Submission	19-Jan-2021
Date of Decision	12-Mar-2021
Date of Acceptance	26-Mar-2021
Date of Web Publication	4-May-2022

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

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/GMIT.GMIT_10_21

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

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

Design

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

Setting

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

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

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

1.	De La Cruz MS, Buchanan EM. Uterine fibroids: Diagnosis and treatment. Am Acad Fam Physician 2017;95:100-7.
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.
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.
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.