Hypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trial

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dc.authoridKalkan, Üzeyir/0000-0001-5223-6697
dc.authorwosidKalkan, Üzeyir/AAZ-1545-2020
dc.authorwosidYAVUZCAN, Ali/AAV-7478-2021
dc.contributor.authorBakay, Kadir
dc.contributor.authorYavuzcan, Ali
dc.contributor.authorKalkan, Üzeyir
dc.contributor.authorYalçın, İbrahim
dc.contributor.authorHatırnaz, Şafak
dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorGuven, Davut
dc.date.accessioned2023-07-26T11:50:41Z
dc.date.available2023-07-26T11:50:41Z
dc.date.issued2021
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.description.abstractBackground: 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 +/- 5.46 vs. 53.66 +/- 8.96 p = 0.018 and p < 0.05), but the amount of bleeding was detected to be at a significantly lower level (73.84 +/- 7.18 vs. 113.96 +/- 21.5 p = 0.001 and p < 0.05). Discussion: In this method, not only we found out that it is easier to ligate IIAD compared to other surgical techniques but also allows for better control of the retroperitoneal area during the procedure therefore minimizing the risk of surgical complications such matically reduced blood loss hence verifying its use in more complex hysterectomies and pelvic lymphadenectomy.en_US
dc.identifier.doi10.31083/j.ceog4806207
dc.identifier.endpage1310en_US
dc.identifier.issn0390-6663
dc.identifier.issn2709-0094
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85122521299en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage1304en_US
dc.identifier.urihttps://doi.org/10.31083/j.ceog4806207
dc.identifier.urihttps://hdl.handle.net/20.500.12684/12406
dc.identifier.volume48en_US
dc.identifier.wosWOS:000734436200010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorYavuzcan, Ali
dc.institutionauthorBaşbuğ, Alper
dc.language.isoenen_US
dc.publisherImr Pressen_US
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectHysterectomy; Hypogastric Artery; Laparoscopyen_US
dc.subjectInternal Iliac Artery; Blood-Flow; Uterine; Fertility; Outcomes; Womenen_US
dc.titleHypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trialen_US
dc.typeArticleen_US

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