TY - JOUR
T1 - Use of uterine vessel occlusion in the management of uterine myomas
T2 - Two different approaches
AU - Lee, Wen Ling
AU - Liu, Wei Min
AU - Fuh, Jong Ling
AU - Tsai, Ying Chieh
AU - Shih, Chun Che
AU - Wang, Peng Hui
N1 - Funding Information:
Supported in part by grants from Taipei Veterans General Hospital ( V97ED1-008, V98F-009 ) and the National Science Council ( NSC 96-2314-B-010-018-MY3 ), Taiwan.
PY - 2010/10
Y1 - 2010/10
N2 - Objective: To evaluate the difference between uterine artery occlusion alone (UAO) and combined (UVO) with simultaneous blockage of anastomosis between the uterine and ovarian vessels in the management of women with myomas in a 3-year follow-up. Design: Case-control study. Setting: University-associated hospital. Patient(s): One hundred ten patients with uterine fibroids. Intervention(s): Forty-four patients underwent UAO and 66 patients UVO; patients were matched using a statistically generated selection of all UVOs performed during the same period. Main Outcome Measure(s): Outcomes were assessed by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes. Result(s): During the 3-year follow-up, the majority of patients in both groups reported symptom relief (ranging from 61.5% to 84.6% in the UVO group and 31.6% to 77.3% in the UAO group, on the basis of different kinds of symptoms). However, symptom control seemed to be different between the two groups when the follow-up time was prolonged; for example, symptom control was better in the UVO group at the end of 3 years, especially for menorrhagia (76.5% vs. 34.5%). The fibroid size was smaller in the UVO group, resulting in a lower reintervention rate, compared with the UAO group (13.6% vs. 36.4%). Conclusion(s): If UVO is used for uterine fibroids, the 3-year efficacy might be better than that with UAO. This finding is worthy of further investigation.
AB - Objective: To evaluate the difference between uterine artery occlusion alone (UAO) and combined (UVO) with simultaneous blockage of anastomosis between the uterine and ovarian vessels in the management of women with myomas in a 3-year follow-up. Design: Case-control study. Setting: University-associated hospital. Patient(s): One hundred ten patients with uterine fibroids. Intervention(s): Forty-four patients underwent UAO and 66 patients UVO; patients were matched using a statistically generated selection of all UVOs performed during the same period. Main Outcome Measure(s): Outcomes were assessed by comparing surgical parameters, immediate postoperative recovery, and therapeutic outcomes. Result(s): During the 3-year follow-up, the majority of patients in both groups reported symptom relief (ranging from 61.5% to 84.6% in the UVO group and 31.6% to 77.3% in the UAO group, on the basis of different kinds of symptoms). However, symptom control seemed to be different between the two groups when the follow-up time was prolonged; for example, symptom control was better in the UVO group at the end of 3 years, especially for menorrhagia (76.5% vs. 34.5%). The fibroid size was smaller in the UVO group, resulting in a lower reintervention rate, compared with the UAO group (13.6% vs. 36.4%). Conclusion(s): If UVO is used for uterine fibroids, the 3-year efficacy might be better than that with UAO. This finding is worthy of further investigation.
KW - Laparoscopic uterine vessel occlusion
KW - efficacy
KW - fibroids
KW - myoma
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U2 - 10.1016/j.fertnstert.2009.11.015
DO - 10.1016/j.fertnstert.2009.11.015
M3 - Article
C2 - 20045514
AN - SCOPUS:77957191248
SN - 0015-0282
VL - 94
SP - 1875
EP - 1881
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 5
ER -