Uterine artery ligation via the laparoscope prior to myomectomy.

摘要

We read with interest the article by Liu et al. (1), and commend their efforts with laparoscopic uterine artery occlusion combined with myomectomy through a rnrnilaparotomy. We agree with the authors that uterine artery occlusion before myomectomy significantly reduces intraoperative blood loss, postoperative febrile morbidity, and secondary recurrence of leiomyomas. Uterine artery occlusion should be done via laparoscope because performing the procedure may become difficult through the minilaparotomy wound. The authors used a minilaparotomy incision for the myomectomy, but the entire procedure can be completed with the laparoscope.