Single-port access myomectomy with uterine artery ligation feasible for removal of large uterine fibroids

Key clinical point: Single-port access (SPA) myomectomy in combination with uterine artery ligation (UAL) enables removal of large uterine fibroids while reducing blood loss.

Major finding: The median weight of total resected uterine fibroids was higher for the patients who received UAL vs those who did not (210 g vs 119 g; P = .023). There were no significant differences between the groups in terms of total surgery time, estimated blood loss, perioperative hemoglobin changes, postoperative analgesic use, and postoperative complications.

Study details: Surgical outcomes of 24 patients who underwent SPA myomectomy with UAL and 32 patients who underwent SPA myomectomy only were retrospectively reviewed.

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Disclosures: No information on funding was available. The authors declared no conflict of interests.

Source: Noh JJ et al. Taiwan J Obstet Gynecol. 2021 Jul 8. doi: 10.1016/j.tjog.2021.05.029.