Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study
Aims and Objectives: To study the efficacy of gelatine absorbable sponge to achieve hemostasis of myoma bed during myomectomy. Materials and Methods: Patient < 40 years with diagnosis of fibroid planned for myomectomy were included. Local infiltration around myoma was done with vasopressin dil...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2016-07-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/14179 |
| _version_ | 1811258277143511040 |
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| author | Manidip Pal |
| author_facet | Manidip Pal |
| author_sort | Manidip Pal |
| collection | DOAJ |
| description | Aims and Objectives: To study the efficacy of gelatine absorbable sponge to achieve hemostasis of myoma bed during myomectomy.
Materials and Methods: Patient < 40 years with diagnosis of fibroid planned for myomectomy were included. Local infiltration around myoma was done with vasopressin diluted with normal saline (10 units of vasopressin mixed with 100 ml of normal saline). Myomas are easily removed. Gelatin absorbable sponge was applied over the myoma bed and the bed was closed. Proper hemostasis was maintained. Hb deficit was measured postoperatively.
Results: Fifteen cases were studied. Vasopressin (diluted) administration ranged from 30-200 ml. Intra-operative blood loss of about 50 ml was noticed in 6 cases, 80 ml – 3 cases, 100 ml – 3 cases, 200 ml – 2 cases, 400 – 1 case. Duration of operation ranged from 60 – 150 minutes. Pre and post-operative Hb% estimation revealed that there was no change in Hb% in 3 cases.
Conclusion: Gelatin absorbable sponge application over the myoma bed while closing the area is a good technique to achieve hemostasis during myomectomy. |
| first_indexed | 2024-04-12T18:10:47Z |
| format | Article |
| id | doaj.art-1334d248d00c4018ac49bdd739fec74d |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-12T18:10:47Z |
| publishDate | 2016-07-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-1334d248d00c4018ac49bdd739fec74d2022-12-22T03:21:50ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762016-07-01741923https://doi.org/10.3126/ajms.v7i4.14179Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot studyManidip Pal 0Associate Professor, Department of Obstetrics & Gynecology College of Medicine & JNM Hospital, WBUHS Kalyani, West BengalAims and Objectives: To study the efficacy of gelatine absorbable sponge to achieve hemostasis of myoma bed during myomectomy. Materials and Methods: Patient < 40 years with diagnosis of fibroid planned for myomectomy were included. Local infiltration around myoma was done with vasopressin diluted with normal saline (10 units of vasopressin mixed with 100 ml of normal saline). Myomas are easily removed. Gelatin absorbable sponge was applied over the myoma bed and the bed was closed. Proper hemostasis was maintained. Hb deficit was measured postoperatively. Results: Fifteen cases were studied. Vasopressin (diluted) administration ranged from 30-200 ml. Intra-operative blood loss of about 50 ml was noticed in 6 cases, 80 ml – 3 cases, 100 ml – 3 cases, 200 ml – 2 cases, 400 – 1 case. Duration of operation ranged from 60 – 150 minutes. Pre and post-operative Hb% estimation revealed that there was no change in Hb% in 3 cases. Conclusion: Gelatin absorbable sponge application over the myoma bed while closing the area is a good technique to achieve hemostasis during myomectomy.https://www.nepjol.info/index.php/AJMS/article/view/14179hemorrhageintraoperativevasopressin |
| spellingShingle | Manidip Pal Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study Asian Journal of Medical Sciences hemorrhage intraoperative vasopressin |
| title | Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study |
| title_full | Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study |
| title_fullStr | Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study |
| title_full_unstemmed | Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study |
| title_short | Gelatine sponge application in myoma bed to achieve hemostasis during myomectomy – A pilot study |
| title_sort | gelatine sponge application in myoma bed to achieve hemostasis during myomectomy a pilot study |
| topic | hemorrhage intraoperative vasopressin |
| url | https://www.nepjol.info/index.php/AJMS/article/view/14179 |
| work_keys_str_mv | AT manidippal gelatinespongeapplicationinmyomabedtoachievehemostasisduringmyomectomyapilotstudy |