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The effect of uterine blood supply cutoff during myomectomy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Alobaid, Abdulaziz Alqadri, Tarek Serat, Fatema Riaz, Muhammad Alobaid, Solaiman Aldakhil, Lateefa
Description	Country affiliation: Saudi Arabia Author Affiliation: Alobaid A ( Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia. draalobaid@hotmail.com)
Abstract	BACKGROUND AND OBJECTIVE: Myomectomy is considered a highly morbid procedure due to the risk of high intraoperative blood loss. Meticulous surgical techniques can reduce operative morbidity. Our aim was to evaluate and compare the intraoperative blood loss between two surgical techniques: 1) the uterine vascular cutoff technique and 2) the classical technique. DESIGN AND SETTING: Retrospective chart review conducted between 1 July 2008 until 30 June 2010 in a tertiary care referral center to compare surgical outcomes of two groups. PATIENTS AND METHODS: The sample included 136 patients: 30 patients had their surgeries performed with the uterine vascular cutoff technique, and the remainder (106 patients) had myomectomies performed with the classical technique. The uterine vascular cutoff technique was performed by the same surgeon for all 30 patients, whereas myomectomy with the classical technique was performed by several gynecologists. RESULTS: There was no significant difference between the two groups in parity and operation time; however, patients in the first group had a statistically significant higher mean age (39.1 [7.6] vs 35.8 [6.9] years; P=.025) and, on average, bigger fibroid size by gestational week (20.1 [7.3] vs 17 [5.2] weeks; P=.0094), with standard deviation shown in parentheses. There was a statistically significant lesser drop in hemoglobin concentration among patients in the first group (1.23 [1.2] vs 2.25 [1.4] g/dL; P=.0003), and the postoperative hemoglobin was significantly higher in the first group (10.5 [1.6] vs 9.7 [1.7] g/dL; P=.036). The hospital stay was shorter for patients in the first group (5.8 [1.7] vs 7.1 [2.9] days; P=.031). CONCLUSION: The vascular cutoff technique leads to less intraoperative blood loss without increasing the operative time, patients tolerate this technique very well, and the technique is associated with shorter hospital stay, all of which could contribute to less postoperative morbidity.
File Format	HTM / HTML
ISSN	02564947
e-ISSN	09754466
DOI	10.4103/0256-4947.87096
Journal	Annals of Saudi Medicine
Issue Number	6
Volume Number	31
Language	English
Publisher	King Faisal Specialist Hospital and Research Centre
Publisher Date	2011-11-01
Publisher Place	Saudi Arabia
Access Restriction	Open
Subject Keyword	Discipline Medicine Blood Loss, Surgical Prevention & Control Hemostasis, Surgical Leiomyoma Uterine Myomectomy Uterine Neoplasms Pathology Surgery Organ Size Outcome And Process Assessment (health Care) Retrospective Studies Adverse Effects Uterus Blood Supply Comparative Study
Content Type	Text
Resource Type	Article
Subject	Medicine

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