Myomectomy associated blood transfusion risk and morbidity after surgery.

Fertility and Sterility
Tana KimZaraq Khan

Abstract

To evaluate blood transfusion risks and the associated 30-day postoperative morbidity after myomectomy. Retrospective cohort study. Not applicable. Women who underwent myomectomies for symptomatic uterine fibroids (N = 3,407). Blood transfusion during or within 72 hours after myomectomy. The primary outcomes were rate of blood transfusion with myomectomy and risk factors associated with receiving a transfusion. The secondary outcome was 30-day morbidity after myomectomy. The overall rate of blood transfusion was 10% (hysteroscopy, 6.7%; laparoscopy, 2.7%; open/abdominal procedures, 16.4%). Independent risk factors for transfusion included as follows: black race (adjusted odds ratio [aOR] 2.27, 95% confidence interval [CI] 1.62-3.17) and other race (aOR 1.77, 95% CI 1.20-2.63) compared with white race; preoperative hematocrit <30% compared to ≥30% (aOR 6.41, 95% CI 4.45-9.23); preoperative blood transfusion (aOR 2.81, 95% CI 1.46-5.40); high fibroid burden (aOR 1.91, 95% CI 1.45-2.51); prolonged surgical time (fourth quartile vs. first quartile aOR 11.55, 95% CI 7.05-18.93); and open/abdominal approach (open/abdominal vs. laparoscopic aOR 9.06, 95% CI 6.10-13.47). Even after adjusting for confounders, women who required blood tr...Continue Reading

Citations

Mar 22, 2021·Journal of Minimally Invasive Gynecology·Jordan S KlebanoffGaby N Moawad
May 1, 2021·Cells·Alessandro ZannottiPasquapina Ciarmela
Jun 21, 2021·Techniques in Vascular and Interventional Radiology·Connie D Cao, Patrick Teefey

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