Comparing Different Techniques of Bilateral Uterine Artery Occlusion During Laparoscopic Myomectomy: A Randomized Controlled Trial

What this Trial Is About

Researchers are evaluating different techniques of bilateral uterine artery occlusion during laparoscopic myomectomy in women with uterine fibroids. The study aims to determine whether these techniques reduce blood loss during surgery and affect postoperative hemoglobin levels and ovarian reserve. This randomized controlled trial compares three occlusion methods against a control group without occlusion to assess their impact on surgical outcomes and ovarian health. Participants will be randomly assigned to one of four groups: temporary clipping of both uterine arteries, temporary occlusion using a shoelace suture technique, permanent occlusion with bipolar coagulation, or no occlusion (control group). Each procedure is performed just before or during laparoscopic myomectomy as appropriate for the assigned technique. The interventions focus on controlling blood flow to the uterus to minimize bleeding during the fibroid removal surgery. During the study, participants will undergo laparoscopic myomectomy with the assigned artery occlusion technique. Researchers will measure intraoperative blood loss during and shortly after surgery and track changes in hemoglobin 24 hours post-operation. They will also assess operative times for artery occlusion and total surgery, monitor ovarian reserve three months after surgery, and record any complications during and after the procedure. The study is conducted at two gynecological centers, with follow-up assessments extending up to three months post-surgery.

Bilateral Uterine Artery Occlusion During Laparoscopic Myomectomy