To B or not to B: the application of uterine compression sutures to reduce blood loss after myomectomy.

Autor:	Bosilah AH; Obstetrics and Gynecology Department, Faculty of Medicine Damietta University, Damietta, Egypt., Hussein M; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Alboghdady MA; Obstetrics and Gynecology, International Islamic Centre for Population Studies and Research, Al-Azhar University, Cairo, Egypt., Zaky A; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Almorsy AS; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University Damietta, Damietta, Egypt., Taha WS; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., El Azeem MFA; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Sholkamy AM; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Khafagy WAE; Department of Obstetrics and Gynecology, ART Unit, International Islamic Institute, Al-Azhar University, Cairo, Egypt., Abdelmoaty MA; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Eldahab IMA; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Mohamed BEE; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Diab YMS; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Mohammed AH; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt., Shaaban ASH; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Taha EM; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Elboghdady AA; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Sileem SA; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt., Essawy HG; Obstetrics and Gynecology Minia University, Minya, Egypt., Elshahat EF; Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt., Soror GIE; Department of Obstetrics and Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt., Mohamed HMA; Obstetrics and Gynecology Minia University, Minya, Egypt.
Jazyk:	angličtina
Zdroj:	Przeglad menopauzalny = Menopause review [Prz Menopauzalny] 2024 Mar; Vol. 23 (1), pp. 21-24. Date of Electronic Publication: 2024 Mar 28.
DOI:	10.5114/pm.2024.136954
Abstrakt:	Introduction: The aim was to assess the hemostatic impact of B-Lynch sutures following an open myomectomy for efficacy. Material and Methods: In this prospective clinical research, performed in Alazhar university hospitals (Al-Hussain, Damietta, Assiut) and Minia University Maternity Hospital, 250 women scheduled for open myomectomy between January 2021 and January 2023 had multiple fibroid uteri with uterine sizes corresponding to 12-22 weeks. There were two groups of women. Group I (125) underwent standard open myomectomy surgery, whereas Group II (125) underwent normal open laparotomy surgery followed by B-Lynch sutures. Certain inclusion and exclusion criteria were applied to every patient. We recorded vital data, length of the procedure, complications (bleeding during the procedure, bleeding from multiple bites, bladder injury, fever, wound infection), complete blood count before and after surgery, need for blood transfusion, postoperative vital data, time until ambulation, passing flatus, and ability to eat and drink, as well as the amount of blood lost during and after the procedure. Results: There was no statistically significant difference between the two groups in age, parity, weight, number of fibroids, or uterine size as measured by ultrasonography. Between groups I and II, there was a significant difference in the average intraoperative blood loss (Group I lost 562.6 ml, whereas Group II lost 411.3 ml) as well as the mean blood loss following surgery (205 ±82 ml in Group I and 117 ±41 ml in Group II). No significant difference was observed in the mean length of hospital stay between groups I and II (2 ±0.3 days and 2 ±0.6 days, respectively). Conclusions: Using a B-Lynch suture can help minimize blood loss during and after an open myomectomy. Therefore, if the uterus is large and has a lot of fibroids, it is recommended to be done frequently. Competing Interests: The authors report no conflict of interest. (Copyright © 2023 Termedia.)
Databáze:	MEDLINE
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