Background: Concerning total laparoscopic hysterectomy (TLH), opening
the retroperitoneum and prophylactic ligation of both uterine arteries (UA) is
not a routine procedure during a simple hysterectomy and it is not practiced
widely in gynecology education. Methods: In this study, we tried to show
the prophylactic ligation of internal iliac artery anterior division (IIAD) and
provide hemostasis of UA at an anatomical plane where we considered it would be
easier to perform and relatively safer, in terms of distance, regarding ureteric
injury, in a prospective randomized controlled trial. Results: When this
technique was used the duration of the operation got longer approximately 3
minutes (min) (57.15
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Open Access
Original Research
Hypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trial
Kadir Bakay1,*, Ali Yavuzcan2, Üzeyir Kalkan3, Ibrahim Yalcin1, Şafak Hatırnaz4, Alper Başbuğ2, Davut Güven1
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1
Department of Gynecology and Obstetrics, Faculty of Medicine, Ondokuz Mayis University, 55060 Samsun, Turkey
2
Department of Gynecology and Obstetrics, Duzce University, Faculty of Medicine, 81600 Duzce, Turkey
3
Department of Gynecology and Obstetrics, Faculty of Medicine, Koc University, 34363 Istanbul, Turkey
4
Department of Gynecology and Obstetrics, Medicana Samsun Hospital, 55060 Samsun, Turkey
*Correspondence: drkadirbakay@gmail.com (Kadir Bakay)
Clin. Exp. Obstet. Gynecol. 2021, 48(6), 1304–1310;
https://doi.org/10.31083/j.ceog4806207
Submitted: 27 January 2021 | Revised: 9 March 2021 | Accepted: 12 April 2021 | Published: 15 December 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Hysterectomy
Hypogastric artery
Laparoscopy
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Fig. 1.