Comparison of Laparoscopic Myomectomy with and without Uterine Artery Occlusion in Treatment of Symptomatic Multiple Myomas

Figures & data

Figure 1 Three different approaches of laparoscopic uterine artery occlusion(LUAO). (A) The anterior leaf of the broad ligament. (B) The posterior leaf of the broad ligament. (C) The triangle area in the broad ligament.

Table 1 Baseline Demographic and Clinical Characteristics of Patients

Characteristics	LUAO+LM (n=64)	LM (n=58)	P value
Age(years)	41.20±3.93	38.89±4.40	0.030
BMI(kg/m2)	23.73(21.09–28.58)	24.21(22.86–28.32)	0.474
Gravidity	3 (1–3)	2 (1–4)	0.510
Parity	1 (1–2)	1 (1–1)	0.094
Preoperative Hg (g/dL)	11.52±1.71	11.91±1.76	0.233
Main Symptom(n.%)
Menorrhagia	32 (50.0)	24(41.4)	0.340
Frequency	20(31.2)	25(43.1)	0.175
Bulge sensation	12(18.8)	9(15.5)	0.637
Uterine volume (cm^3)	236.67±116.97	197.84±90.81	0.043
Max.diameter(cm)	5.72±1.49	5.42±1.55	0.314
Dominant tumor location(n.%)
Anterior	23(35.9)	30(51.7)	0.079
Posterior	33(51.6)	22(37.9)	0.131
Fundal	8(12.5)	6 (10.3)	0.709

Table 2 Surgical and Postoperative Outcomes

Variables	LUAO+LM (n=64)	LM (n=58)	P value
Surgical time (min)	108.89±28.80	107.84±37.63	0.864
Blood loss (mL)	177.97±104.09	258.10±119.55	0.000
Number of removed myomas(n.)	4(4–7)	3(3–5)	0.000
Conversion to laparotomy(n.)	0	0	–
Blood transfusion(n.)	0	2	0.224
Hospital length of stay (d)	6(4–7)	6(5–6)	0.717
Perioperative complications(n.)	0	0	–
Highest postoperative temperature (°C)	37.73±0.48	37.78±0.47	0.553
Postoperative haemoglobin drop(mg/dL)	1.33±0.98	1.75±1.16	0.034
Recurrence rate (n.%)	4(6.2)	15(25.9)	0.003