Taipei Medical University

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Liu WM, Ng HT, Wu YC, Yen YK, Yuan CC
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------>journal_name=Fertil Steril
------>paper_name=Laparoscopic bipolar coagulation of uterine vessels: a new method for treating symptomatic fibroids
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------>fullAbstract=OBJECTIVE: To evaluate the effects of laparoscopic bipolar coagulation of uterine vessels in treating symptomatic fibroids. DESIGN: Prospective clinical study. SETTING: University-affiliated tertiary referral center. PATIENT(S): Eighty-seven women with symptomatic fibroids warranting surgical treatment and wanting to retain their uteri. INTERVENTION(S): Laparoscopic bipolar coagulation of uterine arteries and anastomotic sites of uterine arteries with ovarian arteries. MAIN OUTCOME MEASURE(S): Percentage reduction in the dominant fibroid size and clinical response evaluation. RESULT(S): Eighty-five (97.7%) of 87 patients underwent technically successful laparoscopic coagulation of uterine vessels without intraoperative complications. The mean follow-up time was 10.2 months. Symptomatic improvement was reported in 76 (89.4%) of 85 patients, including 18 (21.2%) with complete resolution of symptoms. Significant reductions in the dominant fibroid size (average, 76%) and the uterine volume (average, 46%) were sonographically demonstrated. Two patients conceived 4 and 9 months, respectively, after treatment. Three (3.5%) premenopausal women became postmenopausal postoperatively. CONCLUSION(S): Laparoscopic bipolar coagulation of uterine vessels appears to be a promising new method for treating fibroid-related menorrhagia and pelvic pain.
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------>authors=Liu WM, Ng HT, Wu YC, Yen YK, Yuan CC
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------>updateTitle=Laparoscopic bipolar coagulation of uterine vessels: a new method for treating symptomatic fibroids.
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------>publish_year=2001
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z