The Use of Triple Tourniquets for Laparoscopic Myomectomy
| Autor: | Adam Magos, Malini Sharma, Lucie Buck, Attilo Di Spiezio Sardo, Alex H. Taylor, G. Mastrogamvrakis |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
business.industry Ultrasound Obstetrics and Gynecology Laparoscopic myomectomy Vascular occlusion female genital diseases and pregnancy complications Surgery medicine.anatomical_structure Ovarian vessels Blood loss Suture (anatomy) medicine University teaching medicine.symptom business Cervix |
| Zdroj: | Journal of Gynecologic Surgery. 21:65-72 |
| ISSN: | 1557-7724 1042-4067 |
| DOI: | 10.1089/gyn.2005.21.65 |
| Popis: | Objective: The aim of this study was to assess the feasibility, safety, and effect of vascular occlusion of the uterine and ovarian arteries, on blood loss at laparoscopic myomectomy. Design: This was a pilot study. Setting: A university teaching hospital was the setting for the study. Patients: Ten women with a uterine size less than or equal to a 14-week gravid uterus were studied. Intervention: All patients had a no. 1 polyglactin suture tied around the cervix to occlude the uterine arteries and a further suture tied around the ovarian vessels. Main outcome measures: Operative blood loss, effect on ovarian function, and changes in uterine perfusion. Results: The median ultrasound diameter of the largest fibroid was 6.8 cm (range 3.8–9.8 cm). An average of three fibroids were removed (range 1–10), median total weight 209 g (range 22–318 g). The average intraoperative blood loss was 163 mL (range 33–827 mL). The median drop in day 2 hemoglobin compared to preoperative levels was 2 g/dL (range 0.7–4.5 g/d... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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