Laparoscopic myomectomy with simultaneous uterine artery ligation: A literature review of prospective studies

Kitti Krungkraipetch
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引用次数: 2

Abstract

This review article has comprehensively covered the benefits of uterine ligation simultaneous laparoscopic myomectomy in the views of operative time, operative blood loss, hospital stay, recurrent rate and symptoms relief in recent articles. The information has been derived from medical database such as SprinkerLink, DOAJ, CINAHL, EBSCO delivery system, PubMed-NCBI, Sciencedirect, HighWire, Web of Science and ProQuest. There were only 3 articles which met my research criteria. The positive result of combined operation was reduction of operative blood loss for all studies. But 2 articles showed the operative time in combined operation more than single procedure. One study had a better percentage of symptom relief in a group of combined operation and tendency to decline in recurrent rate. However other articles revealed no difference in recurrent rate and pregnancy rate in both groups. Nowadays we still need more information from further randomized controlled trial studies to prove the hypothesis of benefits and risks of this add-on procedure.

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腹腔镜子宫肌瘤切除术并发子宫动脉结扎:前瞻性研究的文献综述
本文从手术时间、术中出血量、住院时间、复发率和症状缓解等方面综述了腹腔镜子宫结扎术同时进行子宫肌瘤切除术的益处。这些信息来源于SprinkerLink、DOAJ、CINAHL、EBSCO传送系统、PubMed-NCBI、Sciencedirect、HighWire、Web of Science和ProQuest等医学数据库。只有3篇文章符合我的研究标准。所有研究的阳性结果均为术中出血量减少。但有2篇文章显示联合手术的手术时间多于单一手术。一项研究发现,联合手术组症状缓解率较高,复发率有下降趋势。然而,其他文章显示两组的复发率和妊娠率无差异。现在我们仍然需要更多的信息从进一步的随机对照试验研究来证明这种附加程序的好处和风险的假设。
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