Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy
Abstract The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the...
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Nature Portfolio
2024-03-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-57720-9 |
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| author | Enrique Moratalla-Bartolomé Jesús Lázaro-de-la-Fuente Irene López-Carrasco Elena Cabezas-López Jose Carugno Javier Sancho-Sauco Irene Pelayo-Delgado |
| author_facet | Enrique Moratalla-Bartolomé Jesús Lázaro-de-la-Fuente Irene López-Carrasco Elena Cabezas-López Jose Carugno Javier Sancho-Sauco Irene Pelayo-Delgado |
| author_sort | Enrique Moratalla-Bartolomé |
| collection | DOAJ |
| description | Abstract The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the Department of Obstetrics and Gynecology Ramón y Cajal University Hospital and HM Montepríncipe-Sanchinarro University Hospital, Madrid, Spain, in women with fibroid uterus undergoing laparoscopic myomectomy. Eighty women diagnosed with symptomatic fibroid uterus were randomly assigned to undergo laparoscopic myomectomy without additional intervention (Group A) or temporary clamping of bilateral uterine and utero-ovarian arteries prior to laparoscopic myomectomy (Group B). Estimated blood loss, operating time, length of hospital stay, and postoperative hemoglobin values were compared in both groups. The number of fibroids removed was similar in both groups (p = 0.77). Estimated blood loss was lower in the group of patients with prior occlusion of uterine arteries (p = 0.025) without increasing operating time (p = 0.17) nor length of stay (p = 0.17). No patient had either intra or postoperative complications. Only two patients (2.5%) required blood transfusion after surgery. We conclude that temporary clamping of bilateral uterine arteries prior to laparoscopic myomectomy is a safe intervention that reduces blood loss without increasing operative time. |
| first_indexed | 2024-04-24T16:19:13Z |
| format | Article |
| id | doaj.art-e9bd26a6406a46d5869d9342504fce5b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T16:19:13Z |
| publishDate | 2024-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-e9bd26a6406a46d5869d9342504fce5b2024-03-31T11:18:59ZengNature PortfolioScientific Reports2045-23222024-03-011411710.1038/s41598-024-57720-9Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomyEnrique Moratalla-Bartolomé0Jesús Lázaro-de-la-Fuente1Irene López-Carrasco2Elena Cabezas-López3Jose Carugno4Javier Sancho-Sauco5Irene Pelayo-Delgado6Department of Obstetrics and Gynecology, Ramón y Cajal University HospitalDepartment of Obstetrics and Gynecology, Ramón y Cajal University HospitalDepartment of Obstetrics and Gynecology, HM Montepríncipe-Sanchinarro University HospitalDepartment of Obstetrics and Gynecology, Ramón y Cajal University HospitalMinimally Invasive Gynecology Division, Department of Obstetrics, Gynecology and Reproductive Sciences, University of MiamiDepartment of Obstetrics and Gynecology, Ramón y Cajal University HospitalDepartment of Obstetrics and Gynecology, Ramón y Cajal University Hospital, Alcalá de Henares UniversityAbstract The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the Department of Obstetrics and Gynecology Ramón y Cajal University Hospital and HM Montepríncipe-Sanchinarro University Hospital, Madrid, Spain, in women with fibroid uterus undergoing laparoscopic myomectomy. Eighty women diagnosed with symptomatic fibroid uterus were randomly assigned to undergo laparoscopic myomectomy without additional intervention (Group A) or temporary clamping of bilateral uterine and utero-ovarian arteries prior to laparoscopic myomectomy (Group B). Estimated blood loss, operating time, length of hospital stay, and postoperative hemoglobin values were compared in both groups. The number of fibroids removed was similar in both groups (p = 0.77). Estimated blood loss was lower in the group of patients with prior occlusion of uterine arteries (p = 0.025) without increasing operating time (p = 0.17) nor length of stay (p = 0.17). No patient had either intra or postoperative complications. Only two patients (2.5%) required blood transfusion after surgery. We conclude that temporary clamping of bilateral uterine arteries prior to laparoscopic myomectomy is a safe intervention that reduces blood loss without increasing operative time.https://doi.org/10.1038/s41598-024-57720-9Blood lossTemporary artery ligationUterine fibroids |
| spellingShingle | Enrique Moratalla-Bartolomé Jesús Lázaro-de-la-Fuente Irene López-Carrasco Elena Cabezas-López Jose Carugno Javier Sancho-Sauco Irene Pelayo-Delgado Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy Scientific Reports Blood loss Temporary artery ligation Uterine fibroids |
| title | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
| title_full | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
| title_fullStr | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
| title_full_unstemmed | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
| title_short | Surgical impact of bilateral transient occlusion of uterine and utero-ovarian arteries during laparoscopic myomectomy |
| title_sort | surgical impact of bilateral transient occlusion of uterine and utero ovarian arteries during laparoscopic myomectomy |
| topic | Blood loss Temporary artery ligation Uterine fibroids |
| url | https://doi.org/10.1038/s41598-024-57720-9 |
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