Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases
Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fib...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Voss, Martin [verfasserIn] Koehler, Christhardt [verfasserIn] Elger, Florian [verfasserIn] Kruppa, Susanne [verfasserIn] Schneider, Achim [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2007 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Gynecological surgery - Berlin : Springer, 2004, 4(2007), 2 vom: 28. Apr., Seite 101-105 |
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| Übergeordnetes Werk: |
volume:4 ; year:2007 ; number:2 ; day:28 ; month:04 ; pages:101-105 |
| Links: |
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| DOI / URN: |
10.1007/s10397-007-0280-y |
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SPR009848932 |
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| 520 | |a Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. | ||
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| 650 | 4 | |a Blood loss |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Aneurysm clip |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Infertility |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Yasargil |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Kruppa, Susanne |e verfasserin |4 aut | |
| 700 | 1 | |a Schneider, Achim |e verfasserin |4 aut | |
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10.1007/s10397-007-0280-y doi (DE-627)SPR009848932 (SPR)s10397-007-0280-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.65 bkl 44.92 bkl Voss, Martin verfasserin aut Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 Koehler, Christhardt verfasserin aut Elger, Florian verfasserin aut Kruppa, Susanne verfasserin aut Schneider, Achim verfasserin aut Enthalten in Gynecological surgery Berlin : Springer, 2004 4(2007), 2 vom: 28. Apr., Seite 101-105 (DE-627)393386686 (DE-600)2158902-1 1613-2084 nnns volume:4 year:2007 number:2 day:28 month:04 pages:101-105 https://dx.doi.org/10.1007/s10397-007-0280-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 ASE 44.92 ASE AR 4 2007 2 28 04 101-105 |
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10.1007/s10397-007-0280-y doi (DE-627)SPR009848932 (SPR)s10397-007-0280-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.65 bkl 44.92 bkl Voss, Martin verfasserin aut Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 Koehler, Christhardt verfasserin aut Elger, Florian verfasserin aut Kruppa, Susanne verfasserin aut Schneider, Achim verfasserin aut Enthalten in Gynecological surgery Berlin : Springer, 2004 4(2007), 2 vom: 28. Apr., Seite 101-105 (DE-627)393386686 (DE-600)2158902-1 1613-2084 nnns volume:4 year:2007 number:2 day:28 month:04 pages:101-105 https://dx.doi.org/10.1007/s10397-007-0280-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 ASE 44.92 ASE AR 4 2007 2 28 04 101-105 |
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10.1007/s10397-007-0280-y doi (DE-627)SPR009848932 (SPR)s10397-007-0280-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.65 bkl 44.92 bkl Voss, Martin verfasserin aut Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 Koehler, Christhardt verfasserin aut Elger, Florian verfasserin aut Kruppa, Susanne verfasserin aut Schneider, Achim verfasserin aut Enthalten in Gynecological surgery Berlin : Springer, 2004 4(2007), 2 vom: 28. Apr., Seite 101-105 (DE-627)393386686 (DE-600)2158902-1 1613-2084 nnns volume:4 year:2007 number:2 day:28 month:04 pages:101-105 https://dx.doi.org/10.1007/s10397-007-0280-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 ASE 44.92 ASE AR 4 2007 2 28 04 101-105 |
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10.1007/s10397-007-0280-y doi (DE-627)SPR009848932 (SPR)s10397-007-0280-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.65 bkl 44.92 bkl Voss, Martin verfasserin aut Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 Koehler, Christhardt verfasserin aut Elger, Florian verfasserin aut Kruppa, Susanne verfasserin aut Schneider, Achim verfasserin aut Enthalten in Gynecological surgery Berlin : Springer, 2004 4(2007), 2 vom: 28. Apr., Seite 101-105 (DE-627)393386686 (DE-600)2158902-1 1613-2084 nnns volume:4 year:2007 number:2 day:28 month:04 pages:101-105 https://dx.doi.org/10.1007/s10397-007-0280-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 ASE 44.92 ASE AR 4 2007 2 28 04 101-105 |
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10.1007/s10397-007-0280-y doi (DE-627)SPR009848932 (SPR)s10397-007-0280-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.65 bkl 44.92 bkl Voss, Martin verfasserin aut Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 Koehler, Christhardt verfasserin aut Elger, Florian verfasserin aut Kruppa, Susanne verfasserin aut Schneider, Achim verfasserin aut Enthalten in Gynecological surgery Berlin : Springer, 2004 4(2007), 2 vom: 28. Apr., Seite 101-105 (DE-627)393386686 (DE-600)2158902-1 1613-2084 nnns volume:4 year:2007 number:2 day:28 month:04 pages:101-105 https://dx.doi.org/10.1007/s10397-007-0280-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.65 ASE 44.92 ASE AR 4 2007 2 28 04 101-105 |
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Enthalten in Gynecological surgery 4(2007), 2 vom: 28. Apr., Seite 101-105 volume:4 year:2007 number:2 day:28 month:04 pages:101-105 |
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Enthalten in Gynecological surgery 4(2007), 2 vom: 28. Apr., Seite 101-105 volume:4 year:2007 number:2 day:28 month:04 pages:101-105 |
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findex.gbv.de |
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Laparoscopy Uterine myoma Myomectomy Blood loss Aneurysm clip Infertility Yasargil Fibroids |
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Voss, Martin @@aut@@ Koehler, Christhardt @@aut@@ Elger, Florian @@aut@@ Kruppa, Susanne @@aut@@ Schneider, Achim @@aut@@ |
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2007-04-28T00:00:00Z |
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610 ASE 44.65 bkl 44.92 bkl Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases Laparoscopy (dpeaa)DE-He213 Uterine myoma (dpeaa)DE-He213 Myomectomy (dpeaa)DE-He213 Blood loss (dpeaa)DE-He213 Aneurysm clip (dpeaa)DE-He213 Infertility (dpeaa)DE-He213 Yasargil (dpeaa)DE-He213 Fibroids (dpeaa)DE-He213 |
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Temporary clipping of the uterine artery during laparoscopic myomectomy—a new technique and the results of first cases |
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Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. |
| abstractGer |
Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. |
| abstract_unstemmed |
Abstract Bleeding is the most common complication in laparoscopic myomectomy. In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. We conclude that temporary clipping of the uterine arteries prior to laparoscopic myomectomy is a safe procedure for controlling excessive blood loss without jeopardising the uterine blood supply. |
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In this paper, we describe a new technique using Yasargil aneurysm clips to reduce blood loss during laparoscopic myomectomy by clipping the uterine arteries temporarily. Over a 7-month period, 13 patients with uterine fibroids larger than 5 cm underwent laparoscopic myomectomy with temporary clipping of both uterine arteries at their origin from the internal iliac artery. We assessed the clinical data of perioperative blood loss, operating time, hospital stay, complications, haemoglobin decrease and uterine artery Doppler flow prior to and after the procedure. No serious perioperative complications occurred. The mean number of removed fibroids was 7.5 (range 1–30), with an average total weight of 421 g (range 160–960 g). Mean Hb pre- vs. postoperatively was 12.5 g/cl vs. 10 g/cl. There was no significant change in the uterine artery flow prior to and after surgery. No transfusion was given to any of the patients. 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