Complications and myoma recurrence after laparoscopic uterine artery occlusion for symptomatic myomas

Abstract

The rate of complications and fibroid recurrence was low in patients undergoing LOUA.

Efficacy of combined laparoscopic uterine artery occlusion and myomectomy via minilaparotomy in the treatment of recurrent uterine myomas

“…If fertility is compromised by this procedure or any maternal complication or fetal abnormality is reported in the literature, obstetricians should be prohibited from using uterine artery ligation to treat postpartum hemorrhage. However, the potential complications of laparoscopic uterine artery occlusion, including ureter injury, intestinal injury, and others, cannot be discounted completely, although the incidence was low in two reports (30,31), and no major acute or delayed surgical complications occurred in either group of patients in this study.…”

Pregnancy outcomes after uterine artery occlusion: prospective multicentric study

“…Operative procedures for laparoscopic uterine artery dissection, occlusion, or transsection have been described elsewhere in more detail (1). Laparoscopy was performed in the lithotomy position, using video-monitoring equipment.…”

“…More recently, however, there has been a renewed interest in removal of the myoma alone, that is, myomectomy. Uterine preservation has focused attention not only on myomectomy but also on myolysis, embolization, and surgical uterine artery occlusion (1). To date, there have not been significant data about pregnancy outcomes after surgical occlusion or embolization of the uterine artery.…”

Management of Caesarean Scar Pregnancies Using an Intrauterine or Abdominal Approach Based on the Myometrial Thickness between the Gestational Mass and the Bladder Wall

“…LUAO with bipolar coagulation was added to the patients who did not respond to MTX at the beginning of the procedure, and vasopressin was used if necessary. Successful artery dissection was performed as previously described [6]. Then, the bladder was dissected off the lower uterine segment of the uterus, exposing the bulging part of the gestational mass.…”