{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:21:14Z","timestamp":1787764874062,"version":"build-2784847793"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Total laparoscopic hysterectomy (TLH) is commonly performed for benign gynecological conditions, with uterine artery ligation being a critical step due to its role as the major blood supply to the uterus<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives:<\/jats:title>\n                    <jats:p>To compare perioperative outcomes of conventional versus posterior uterine artery ligation during TLH<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A randomized controlled trial including 60 women meeting the inclusion criteria were selected and randomized into two different groups: Group A (conventional approach) and Group B (posterior approach), with 30 patients in each group. Baseline characteristics, including age, parity, BMI, previous surgery history, comorbidities, and menopausal status, were similar across groups<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Post-operative drop in hemoglobin level in each group has a significant difference; the hemoglobin drop was significantly greater in Group A (1.58 g\/dl) compared to Group B (0.90 g\/dl,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Estimated blood loss was also significantly higher in Group A (109.47 ml) than in Group B (78.33 ml,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), reflecting reduced vascular injury and bleeding with the posterior approach. Additionally, operative time was noted to be shorter in Group B than Group A. The Mean of the operative time (minutes) in group A was 102.07 (10.22) and in group B was 92.27 (7.71). It was significantly higher in group A (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -value &lt;0.001)\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>findings suggest that the posterior approach for uterine artery ligation during TLH is associated with less blood loss, reduced hemoglobin drop, and shorter operative times, indicating it may be a safer and more efficient method than the conventional approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_621_25","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T12:00:09Z","timestamp":1771848009000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Perioperative Outcomes in Conventional Approach versus Posterior Approach for Uterine Artery Ligation in Total Laparoscopic Hysterectomy: A Randomized Control Trial"],"prefix":"10.4103","author":[{"given":"Kanhu Charan","family":"Dash","sequence":"first","affiliation":[{"name":"Department of Gynecological Oncology, AHPGIC, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilaj","family":"Bagde","sequence":"additional","affiliation":[{"name":"Deparment of Obstetrics and Gynecology AIIMS Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Khobragade","sequence":"additional","affiliation":[{"name":"Deparment of Obstetrics and Gynecology AIIMS Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja","family":"Bhol","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology SCB MCH Cuttack Odisha, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarita","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Deparment of Obstetrics and Gynecology AIIMS Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Deparment of Obstetrics and Gynecology AIIMS Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,20]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_621_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:49:09Z","timestamp":1787762949000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_621_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,20]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_621_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,20]]},"assertion":[{"value":"2025-10-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}