Lateral closure of the uterine artery prior to laparoscopic hysterectomy : a systematic review
(2022) In Journal of Obstetrics and Gynaecology 42(5). p.785-792- Abstract
An alternative surgical technique with closure of the uterine artery at its origin, known as lateral approach prior to TLH, has been proposed and it may offer important benefits to both patients and surgeons. Our objectives were to review the current literature regarding surgical outcomes between lateral and conventional approach in relation to TLH. We followed the ‘PRISMA’ guidelines and conducted a systematic review, which involved searching PubMed and Embase databases for RCTs evaluating the topic. We identified four RCTs including 585 patients. Three of the four studies reported a significant lower bleeding during TLH with prior lateral approach. Operative time was also shorter in the lateral approach group compared to the... (More)
An alternative surgical technique with closure of the uterine artery at its origin, known as lateral approach prior to TLH, has been proposed and it may offer important benefits to both patients and surgeons. Our objectives were to review the current literature regarding surgical outcomes between lateral and conventional approach in relation to TLH. We followed the ‘PRISMA’ guidelines and conducted a systematic review, which involved searching PubMed and Embase databases for RCTs evaluating the topic. We identified four RCTs including 585 patients. Three of the four studies reported a significant lower bleeding during TLH with prior lateral approach. Operative time was also shorter in the lateral approach group compared to the conventional approach group in three studies. Our review provides evidence that lateral occlusion of the uterine arteries prior to total laparoscopic hysterectomy may be beneficial due to less blood loss and shorter perioperative time without compromising patient safety.
(Less)
- author
- Lysdal, Vibeke Kramer ; Karampas, Grigorios LU and Rudnicki, Martin
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- lateral closure, lateral ligation, lateral occlusion, surgical outcome, Total laparoscopic hysterectomy, uterine artery
- in
- Journal of Obstetrics and Gynaecology
- volume
- 42
- issue
- 5
- pages
- 785 - 792
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85118129136
- pmid:34689681
- ISSN
- 0144-3615
- DOI
- 10.1080/01443615.2021.1968810
- language
- English
- LU publication?
- no
- additional info
- Publisher Copyright: © 2021 Informa UK Limited, trading as Taylor & Francis Group.
- id
- 686ac8c5-5ffa-4944-8304-aa026160f395
- date added to LUP
- 2021-11-24 09:25:34
- date last changed
- 2025-06-16 06:40:51
@article{686ac8c5-5ffa-4944-8304-aa026160f395,
abstract = {{<p>An alternative surgical technique with closure of the uterine artery at its origin, known as lateral approach prior to TLH, has been proposed and it may offer important benefits to both patients and surgeons. Our objectives were to review the current literature regarding surgical outcomes between lateral and conventional approach in relation to TLH. We followed the ‘PRISMA’ guidelines and conducted a systematic review, which involved searching PubMed and Embase databases for RCTs evaluating the topic. We identified four RCTs including 585 patients. Three of the four studies reported a significant lower bleeding during TLH with prior lateral approach. Operative time was also shorter in the lateral approach group compared to the conventional approach group in three studies. Our review provides evidence that lateral occlusion of the uterine arteries prior to total laparoscopic hysterectomy may be beneficial due to less blood loss and shorter perioperative time without compromising patient safety.</p>}},
author = {{Lysdal, Vibeke Kramer and Karampas, Grigorios and Rudnicki, Martin}},
issn = {{0144-3615}},
keywords = {{lateral closure; lateral ligation; lateral occlusion; surgical outcome; Total laparoscopic hysterectomy; uterine artery}},
language = {{eng}},
number = {{5}},
pages = {{785--792}},
publisher = {{Taylor & Francis}},
series = {{Journal of Obstetrics and Gynaecology}},
title = {{Lateral closure of the uterine artery prior to laparoscopic hysterectomy : a systematic review}},
url = {{http://dx.doi.org/10.1080/01443615.2021.1968810}},
doi = {{10.1080/01443615.2021.1968810}},
volume = {{42}},
year = {{2022}},
}