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Dergiler / Journal of the Turkish-German Gynecological Association / 2022 / Cilt: 23 - Sayı: 2

Can the application of a temporary uterine tourniquet during an abdominal myomectomy reduce bleeding?

Ahmet Akın SİVASLIOĞLU
Eren AKBABA
Burak SEZGİN
Sayfa
111–116
Yayın Tarihi
2022-10-18
DOI
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Conclusion: A temporary uterine tourniquet may be an effective method for reducing the amount of perioperative bleeding in patients with multiple, large-sized myomas located close to vascular structures. (J Turk Ger Gynecol Assoc 2022; 23: 111-6)

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Uterine fibroids are common, benign uterine tumours.
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Temel Bulgular & Veri:Material and Methods: This retrospective study included patients with intra-mural fibroids (≥5 cm) who underwent an abdominal myomectomy.
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Sonuç & Katkı:Conclusion: A temporary uterine tourniquet may be an effective method for reducing the amount of perioperative bleeding in patients with multiple, large-sized myomas located close to vascular structures. (J Turk Ger Gynecol Assoc 2022; 23: 111-6)
🔬Tür:Araştırma Makalesi
📍Kapsam:2022 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Uterine fibroids are common, benign uterine tumours. The three most common surgical treatment approaches for uterine fibroids are laparoscopic, robotic and abdominal myomectomies. Bleeding is a risk with all three approaches. The present study compared postoperative and pregnancy outcomes in patients with bilateral uterine artery occlusion who underwent an abdominal myomectomy, with or without a temporary uterine tourniquet. Material and Methods: This retrospective study included patients with intra-mural fibroids (≥5 cm) who underwent an abdominal myomectomy. The patients were divided into two groups according to the use or non-use of a temporary uterine tourniquet. Post-operative and pregnancy outcomes in the tourniquet use and non-use groups were compared. The association of the number of uterine fibroids removed (≤3 vs >3) with laboratory parameters was also evaluated. Results: A total of 84 patients were included, divided into use (n=36) and non-use (n=48) of the temporary tourniquet. There was a statistically significant difference between the groups with >3 myomas removed and with a uterine tourniquet applied and not applied in terms of reduction in hemoglobin and hematocrit, transfusion amounts, operation times and lengths of hospitalization in favour of the uterine tourniquet use group (p=0.019, p=0.023, p=0.012, p=0.044 and p=0.036, respectively). Bilateral uterine arterial occlusion using a temporary uterine tourniquet had no negative effects on pregnancy outcomes. Conclusion: A temporary uterine tourniquet may be an effective method for reducing the amount of perioperative bleeding in patients with multiple, large-sized myomas located close to vascular structures. (J Turk Ger Gynecol Assoc 2022; 23: 111-6)

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Bu Makaleye Atıf Yap

SİVASLIOĞLU, A. A., AKBABA, E., SEZGİN, B. (2022). Can the application of a temporary uterine tourniquet during an abdominal myomectomy reduce bleeding?. Journal of the Turkish-German Gynecological Association, Cilt: 23 - Sayı: 2, 111–116. https://ajindex.com/articles/567341

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Kaynakça (15)

  1. Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol 2003; 188: 100- 7
  2. Borell U, Fernstrom I. The adnexal branches of the uterine artery; an arteriographic study in human subjects. Acta Radiol 1953; 40: 561-82
  3. Burchell RC. Arterial physiology of the human female pelvis. Obstet Gynecol 1968; 31: 855-60
  4. Lichtinger M, Burbank F, Hallson L, Herbert S, Uyeno J, Jones M. The time course of myometrial ischemia and reperfusion after laparoscopic uterine artery occlusion--theoretical implications. J Am Assoc Gynecol Laparosc 2003; 10: 554-63
  5. Gobern JM, Rosemeyer CJ, Barter JF, Steren AJ. Comparison of robotic, laparoscopic, and abdominal myomectomy in a community hospital. JSLS 2013; 17: 116-20
  6. Hickman LC, Kotlyar A, Shue S, Falcone T. Hemostatic Techniques for Myomectomy: An Evidence-Based Approach. J Minim Invasive Gynecol 2016; 23: 497-504
  7. Kongnyuy EJ, Wiysonge CS. Interventions to reduce haemorrhage during myomectomy for fibroids. Cochrane Database Syst Rev 2014; 2014: CD005355
  8. Maxwell MJ, Wilson MJ. Complications of blood transfusion. Continuing Education in Anaesthesia, Critical Care Pain 2006; 6: 225-9
  9. Zwingerman R, Jain V, Hannon J, Zwingerman N, Clarke G. Alloimmune Red Blood Cell Antibodies: Prevalence and Pathogenicity in a Canadian Prenatal Population. J Obstet Gynaecol Can 2015; 37: 784-90
  10. Zepiridis LI, Grimbizis GF, Tarlatzis BC. Infertility and uterine fibroids. Best Pract Res Clin Obstet Gynaecol 2016; 34: 66-73
  11. Ye M, Zhou J, Chen J, Yan L, Zhu X. Analysis of hidden blood loss and its influential factors in myomectomy. J Int Med Res 2020; 48: 0300060520920417
  12. Tanos V, Berry K, Frist M, Campo R, DeWilde R. Prevention and management of complications in laparoscopic myomectomy. Biomed Res Int 2018; 2018: 8250952
  13. Ginsburg ES, Benson CB, Garfield JM, Gleason RE, Friedman AJ. The effect of operative technique and uterine size on blood loss during myomectomy: a prospective randomized study. Fertil Steril 1993; 60: 956-62
  14. Fanny M, Fomba M, Aka E, Adjoussou S, Olou L, Koffi A, et al. Prevention of bleeding during laparotomic myomectomy in SubSaharan Africa: Contribution to the tourniquet on the uterine isthmus. Gynecol Obstet Fertil Senol 2018; 46: 681-5
  15. Conforti A, Mollo A, Alviggi C, Tsimpanakos I, Strina I, Magos A, et al. Techniques to reduce blood loss during open myomectomy: