Benefit of uterine artery ligation in laparoscopic myomectomy

ObjectiveTo determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes.DesignSingle-center, nonrandomized, comparative study.SettingUniversity hospital, tertiary referral center.Patient(s)Ninety women undergoing laparoscopic myomectomy.Intervention(s)Laparoscopic myomectomy with or without uterine artery ligation.Main Outcome Measure(s)Surgical results and clinical outcomes.Result(s)Fifty-one patients (56.6%) underwent laparoscopic myomectomy with uterine artery ligation (group A), and 39 patients (43.3%) underwent laparoscopic myomectomy alone (group B). The mean operating time was 100.0 ± 33.8 minutes in group A and 90.0 ± 37.1 minutes in group B. Both groups were similar with respect to mean blood loss (72.3 ± 109.0 mL vs. 62.6 ± 77.3 mL). The myoma recurrence rate in group A was significantly less than in group B after a median follow-up period of 11.1 months (2% vs. 13%).Conclusion(s)Both groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.