This systematic review and meta-analysis looked at 857 women who had surgery for uterine myomas, also known as fibroids. The researchers compared laparoscopic myomectomy alone with the same surgery plus temporary uterine artery ligation. They wanted to see if adding the ligation step changed how much blood was lost during the operation or how hemoglobin levels changed afterward.
The analysis showed that adding temporary uterine artery ligation led to a reduction in estimated blood loss during surgery. It also resulted in a smaller drop in hemoglobin levels after the procedure. However, the time spent in the operating room was slightly longer when the ligation was used.
The study notes that more research with larger groups of patients and longer follow-up is needed. Further studies are also required to look at results based on different ligation techniques. Because of these gaps, this finding should be seen as a possible option for selected patients rather than a standard rule.
