Objective: To assess the clinical outcome, indication and operative technique of laparoscopic dissection of uterine vessels (LDUV) using ultrasonic technique in the treatment of symptomatic fibroids. Design: Prospective case observational clinical study (Part I). Setting: Department of Obstetrics and Gynecology, Hospital Kladno. Methods: We analysed clinical outcome of laparoscopic dissection of uterine vessels in 46 symptomatic women with fibroids in the period 2000 - 2002. The operative technique and indication to surgery were studied especially in part I. Results: All patients underwent successful LDUV procedure without intraoperative complications. Time of surgery ranged from 15 - 50 minutes (mean 37.3 minutes) in cases of LDUV only. In cases of laparoscopic dissection of uterine vessels combined with myomectomy the mean of surgery was 63.1 minutes (range 35 - 120). Mean blood loss was less than 25 ml and mean hospital pooperative stay 2.1 days. Only two minor febrile pooperative complications was found (4.3%). Conclusion: The procedure of laparoscopic dissection of uterine vessels can be completed within 25 - 35 minutes with minimal blood loss, short hospital stay and acceptable number of complications.

        Key words: laparoscopy, dissection uterine vessels, myoma, ultrasonic technique