The interest of uterine artery ligation in gynecological surgery: the experience of Obstetrics and Gynecology Department at Mohammed VI University Hospital in Oujda, Morocco

Ligation of the uterine arteries is placement a clip or ligature on artery allowing devascularization irrigated area uterus. Indeed, in order to limit bleeding during myomectomy difficult hysterectomy, primary ligation proved helpful. Our work aimed discuss indications for uterine, describe its different techniques and assess effectiveness benefit. was retrospective analytical descriptive mono-centered study, involving 21 patients who underwent vascular artery, as first stage surgery, regardless approach, part myomectomy/polymyomectomy Gynecology And Obstetrics Department at Mohammed VI University Hospital Oujda, over period thirty-four months, going from January 2019 October 2021. The average age our study 39 years old. 66.7% benefited while 28.5% hysterectomy. technic laparoscopy 52.3% cases second laparotomy 47.7% cases. performed bilaterally, permanently by clips all patients. Blood loss estimated be 121 ml with extremes 45 350ml, hemoglobin level decreased an 0.7 g/dl none required intraoperative postoperative transfusion. Occlusion seems have remarkable effect reducing blood gynecological surgery does not increase risk intra complications. However, more studies are impact subsequent fertility.