ArticleFrontiers in medicine2025
Effect of bilateral uterine artery ligation on blood loss during total laparoscopic hysterectomy.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- The effect of temporary uterine artery ligation on blood loss during laparoscopic myomectomy: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
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Authors and funding
8 authors.
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Abstract
Background: Hysterectomy is a common major gynecological surgery. Total laparoscopic hysterectomy (TLH) has become a preferred method over traditional approaches due to its minimally invasive nature and reduced postoperative complications. Aim: This study aimed to compare conventional total laparoscopic hysterectomy (CTLH) with TLH involving bilateral uterine artery ligation (BUAL) at its origin, specifically evaluating blood loss and perioperative outcomes. Methods: In this prospective randomized study conducted at Cairo University Hospital, 60 female patients undergoing TLH for benign uterine conditions were randomized. Group 1 (BUAL) involved bilateral uterine artery ligation at its origin, and Group 2 (CTLH) followed conventional TLH techniques. Preoperative assessments included comprehensive history, physical examinations, and relevant laboratory tests. Outcomes measured were intraoperative blood loss, operative time (from insufflation to skin suturing), intraoperative and postoperative complications, postoperative analgesic needs, and hospital stay. Results: Both groups were demographically similar. The BUAL group experienced significantly lower blood loss (103.7 ± 23.27 mL) compared to the CTLH group (128.7 ± 42.57 mL) ( Conclusion: Securing the uterine arteries at their origin during TLH reduces blood loss and provides a feasible alternative to conventional methods, despite a slightly longer operative time. Enhanced surgical expertise correlates with reduced operative duration and improved outcomes.
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