Academic Journal
Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy
| Title: | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
|---|---|
| Authors: | Enrique Moratalla-Bartolomé, Jesús Lázaro-de-la-Fuente, Irene López-Carrasco, Elena Cabezas-López, Jose Carugno, Javier Sancho-Sauco, Irene Pelayo-Delgado |
| Source: | Scientific Reports, Vol 14, Iss 1, Pp 1-7 (2024) |
| Publisher Information: | Nature Portfolio, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Medicine LCC:Science |
| Subject Terms: | Blood loss, Temporary artery ligation, Uterine fibroids, Medicine, Science |
| More Details: | Abstract The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the Department of Obstetrics and Gynecology Ramón y Cajal University Hospital and HM Montepríncipe-Sanchinarro University Hospital, Madrid, Spain, in women with fibroid uterus undergoing laparoscopic myomectomy. Eighty women diagnosed with symptomatic fibroid uterus were randomly assigned to undergo laparoscopic myomectomy without additional intervention (Group A) or temporary clamping of bilateral uterine and utero-ovarian arteries prior to laparoscopic myomectomy (Group B). Estimated blood loss, operating time, length of hospital stay, and postoperative hemoglobin values were compared in both groups. The number of fibroids removed was similar in both groups (p = 0.77). Estimated blood loss was lower in the group of patients with prior occlusion of uterine arteries (p = 0.025) without increasing operating time (p = 0.17) nor length of stay (p = 0.17). No patient had either intra or postoperative complications. Only two patients (2.5%) required blood transfusion after surgery. We conclude that temporary clamping of bilateral uterine arteries prior to laparoscopic myomectomy is a safe intervention that reduces blood loss without increasing operative time. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2045-2322 |
| Relation: | https://doaj.org/toc/2045-2322 |
| DOI: | 10.1038/s41598-024-57720-9 |
| Access URL: | https://doaj.org/article/e9bd26a6406a46d5869d9342504fce5b |
| Accession Number: | edsdoj.9bd26a6406a46d5869d9342504fce5b |
| Database: | Directory of Open Access Journals |
| Full text is not displayed to guests. | Login for full access. |
| ISSN: | 20452322 |
|---|---|
| DOI: | 10.1038/s41598-024-57720-9 |
| Published in: | Scientific Reports |
| Language: | English |