Temporary Occlusion of the Uterine Artery at the Origin Using Titanium Clips for Laparoscopic Myomectomy

Abstract

<h3>Study Objective</h3> To demonstrate retroperitoneal dissection to skeletonize and temporarily occlude the uterine arteries at the origin using titanium clips at the time of a laparoscopic myomectomy and to demonstrate simulation of clip application and removal. <h3>Design</h3> N/A. <h3>Setting</h3> Robotic-assisted pelvic laparoscopy. <h3>Patients or Participants</h3> Patient with large fibroid uterus undergoing myomectomy. <h3>Interventions</h3> Placement of titanium clips on the uterine arteries at the origin. <h3>Measurements and Main Results</h3> Minimization of blood loss at the time of myomectomy. <h3>Conclusion</h3> Temporary occlusion of the uterine arteries at the origin with titanium clips can be used to minimize blood loss at the time of laparoscopic myomectomy and other laparoscopic pelvic and uterine surgeries where high blood loss is expected or for patients with a low starting hemoglobin or other pertinent medical co-morbidities.