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- Title
Preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during abdominal myomectomy
- Authors
Helal, Adel Saad; Abdel-Hady, El -Said; Refaie, Ehsan; El Shamy, Maged; El Fattah, Raafat Abd; Mashaly, Abd El Magied
- Abstract
Abstract: Objective: To compare the effectiveness of preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during myomectomy. Methods: A total of 103 patients undergoing myomectomy were randomly allocated to undergo preliminary uterine artery ligation (52 patients) or pericervical tourniquet (51 patients). The primary outcome measure was estimated blood loss. Secondary outcomes included duration of the operation, duration of hospital stay, postoperative hemoglobin, and the need for postoperative analgesia. Results: Operative blood loss was significantly less with uterine artery ligation compared with tourniquet (433.80±285.21 vs 823.23±237.33mL, P <0.001). The mean duration of the operation was lower in the uterine artery ligation group compared with the tourniquet group (50.5±8.7 vs 76.3±9.4 minutes, P <0.001). Postoperative hospital stay was significantly shorter in the uterine artery ligation group compared with the tourniquet group (4.1±0.1 vs 5.1±0.2days; P <0.001). Postoperative hemoglobin concentrations and the need for postoperative analgesia were higher in the uterine artery ligation group (P =0.012 and P <0.001, respectively). Conclusion: Uterine artery ligation was more effective than pericervical tourniquet as a preliminary step in reducing blood loss during abdominal myomectomy.
- Subjects
OPERATIVE surgery; UTERINE circulation; LIGATURE (Surgery); TOURNIQUETS; HEMORRHAGE treatment; MYOMECTOMY; TREATMENT effectiveness; BLOOD loss estimation; ARTERIAL surgery; MYOMETRIUM surgery; SURGICAL blood loss; COMPARATIVE studies; SURGICAL hemostasis; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; UTERINE fibroids; UTERINE tumors; EVALUATION research; RANDOMIZED controlled trials; PREVENTION
- Publication
International Journal of Gynecology & Obstetrics, 2010, Vol 108, Issue 3, p233
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2009.09.022