Preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during abdominal myomectomy

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Adel Saad HelalAbd El Magied Mashaly

Abstract

To compare the effectiveness of preliminary uterine artery ligation versus pericervical mechanical tourniquet in reducing hemorrhage during myomectomy. 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. 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+/-0.2 days; 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). Uterine artery ligation was more effective than pericervical tourniquet as a...Continue Reading

References

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Citations

Apr 10, 2010·Archives of Gynecology and Obstetrics·Olufemi T Oladapo, Akinwunmi F Akinsanya
Mar 31, 2011·Archives of Gynecology and Obstetrics·Elham PourmatroudRoza Golshahi
Feb 9, 2016·Journal of Minimally Invasive Gynecology·Lisa Caronia HickmanTommaso Falcone
Jul 21, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Alessandro ConfortiGiuseppe De Placido
Nov 20, 2016·BJOG : an International Journal of Obstetrics and Gynaecology·S AtashkhoeiA Asiaei
Oct 18, 2018·Archives of Gynecology and Obstetrics·Berna Aslan ÇetinTayfur Çift

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