Comparing perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy: A randomized controlled trial
Autor: | Grace G Ezeoke, Muhibat A. Afolabi, Rakiya Saidu, Munirdeen A Ijaiya, Abiodun S Adeniran |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Blood transfusion
medicine.medical_treatment lcsh:Medicine Hematocrit lcsh:Gynecology and obstetrics law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine 030212 general & internal medicine Misoprostol lcsh:RG1-991 Original Investigation misoprostol Tourniquet 030219 obstetrics & reproductive medicine Hysterectomy medicine.diagnostic_test uterine leiomyoma business.industry hemostatic tourniquet lcsh:R Obstetrics and Gynecology Perioperative abdominal myomectomy Hemostasis Anesthesia hemostasis business medicine.drug |
Zdroj: | Journal of the Turkish-German Gynecological Association, Vol 20, Iss 1, Pp 23-30 (2019) Journal of the Turkish German Gynecological Association |
ISSN: | 1309-0380 1309-0399 |
Popis: | Objective: To compare the effectiveness of perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy. Material and Methods: A randomized controlled trial involving women with uterine leiomyoma who underwent abdominal myomectomy was conducted at a tertiary facility in Nigeria. Participants were recruited after they gave informed consent and randomized into group I (single dose 400 μg vaginal misoprostol one-hour before surgery) and group II (intraoperative pericervical hemostatic tourniquet). Eighty participants (40 in each group) were recruited. Uterine size was measured in centimeters above the pubic symphysis, and blood loss estimation involved direct volume measurement and gravimetric methods. The main outcome measures were intraoperative blood loss, blood transfusion, and recourse to hysterectomy. Ethical approval and trial registration were obtained; the data were analyzed using the SPSS software version 21.0; p |
Databáze: | OpenAIRE |
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