Minimally Invasive Surgery of SymptomaticFibrosis Using LDUV (laparoscopic dissection ofuterine vessels): Clinical Prospective Study (Part I)

Overview

Objective:
To assess the clinical outcome, indication and operative technique of laparoscopicdissection of uterine vessels (LDUV) using ultrasonic technique in the treatment of symptomaticfibroids. Design: Prospective case observational clinical study (Part I).Setting: Department of Obstetrics and Gynecology, Hospital Kladno.Methods: We analysed clinical outcome of laparoscopic dissection of uterine vessels in 46 symptomaticwomen with fibroids in the period 2000 - 2002. The operative technique and indication tosurgery were studied especially in part I.Results: All patients underwent successful LDUV procedure without intraoperative complications.Time of surgery ranged from 15 - 50 minutes (mean 37.3 minutes) in cases of LDUV only. In cases oflaparoscopic dissection of uterine vessels combined with myomectomy the mean of surgery was 63.1minutes (range 35 - 120). Mean blood loss was less than 25 ml and mean hospital pooperative stay2.1 days. Only two minor febrile pooperative complications was found (4.3%).Conclusion: The procedure of laparoscopic dissection of uterine vessels can be completed within 25- 35 minutes with minimal blood loss, short hospital stay and acceptable number of complications.

Key words:
laparoscopy, dissection uterine vessels, myoma, ultrasonic technique