D.G. Hong

Benefit of uterine artery ligation in laparoscopic myomectomy

OBJECTIVEnTo determine the impact of uterine artery ligation in laparoscopic myomectomy, according to surgical results and clinical outcomes.nnnDESIGNnSingle-center, nonrandomized, comparative study.nnnSETTINGnUniversity hospital, tertiary referral center.nnnPATIENT(S)nNinety women undergoing laparoscopic myomectomy.nnnINTERVENTION(S)nLaparoscopic myomectomy with or without uterine artery ligation.nnnMAIN OUTCOME MEASURE(S)nSurgical results and clinical outcomes.nnnRESULT(S)nFifty-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%).nnnCONCLUSION(S)nBoth groups were similar with respect to surgical results. However, the recurrence rate was significantly lower in group A compared with group B.

Vaginal evisceration after total laparoscopic radical hysterectomy in cervical cancer

A 50-year-old woman came to the emergency department with vaginal evisceration that occurred 7 months after a total laparoscopic radical hysterectomy. Vaginal evisceration was repaired by a laparoscopic-vaginal approach without a laparotomy. This is the first report of vaginal evisceration after a total laparoscopic radical hysterectomy.

A case of uterine pseudoaneurysm combined with gestational trophoblastic disease in a 30-year-old woman

Abstract Uterine artery pseudoaneurysm is a rare disease and it can be diagnosed using conventional doppler ultrasongraphy. Damaged uterine arteries from cesarean section, myomectomy, dilatation & curettage, etc. are known as causes of the disease. Massive bleeding in the rupture can cause fatal result. We observed an increase in β-hCG and uterine artery pseudoaneurysm a year after the performance of dilatation & curettage for hydatidiform mole and treated it with arterial embolization and chemotherapy. We report the case and give a brief review of the literature.