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

dc.contributor.coauthorBakay, Kadir
dc.contributor.coauthorYavuzcan, Ali
dc.contributor.coauthorYalçın, İbrahim
dc.contributor.coauthorHatırnaz, Şafak
dc.contributor.coauthorBaşbuğ, Alper
dc.contributor.coauthorGüven, Davut
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorKalkan, Üzeyir
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T13:14:02Z
dc.date.issued2021
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.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.issue6
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume48
dc.identifier.doi10.31083/j.ceog4806207
dc.identifier.eissn2709-0094
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR03386
dc.identifier.issn0390-6663
dc.identifier.quartileQ4
dc.identifier.scopus2-s2.0-85122521299
dc.identifier.urihttps://hdl.handle.net/20.500.14288/2961
dc.identifier.wos734436200010
dc.keywordsHysterectomy
dc.keywordsHypogastric artery
dc.keywordsLaparoscopy
dc.language.isoeng
dc.publisherIMR Press
dc.relation.grantnoNA
dc.relation.ispartofClinical and Experimental Obstetrics and Gynecology
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10172
dc.subjectObstetrics and gynecology
dc.titleHypogastric artery ligation in laparoscopic hysterectomy: results from a randomized controlled trial
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorKalkan, Üzeyir
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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