Techniques to reduce blood loss during open myomectomy: a qualitative review of literature

Eur J Obstet Gynecol Reprod Biol. 2015 Sep:192:90-5. doi: 10.1016/j.ejogrb.2015.05.027. Epub 2015 Jun 19.

Abstract

Open myomectomy is the most adopted surgical strategy in the conservative treatment of uterine fibroids. According to several studies, the likelihood that a woman could develop uterine myomas is estimated around 75% by the age of 50. Open myomectomy is nonetheless a complicated surgery in terms of blood loss and need for transfusion. Many strategies have been published with the aim of limiting intra and post-operative bleeding complications. The scope of this review is to describe in detail the different techniques reported in literature focusing on their validity and safety.

Keywords: Haemorrhage; Open myomectomy; Surgery; Uterine fibroids.

Publication types

  • Review

MeSH terms

  • Antifibrinolytic Agents / therapeutic use
  • Blood Loss, Surgical / prevention & control*
  • Female
  • Gonadotropin-Releasing Hormone / agonists
  • Hemostasis, Surgical / methods*
  • Hemostatics / therapeutic use
  • Humans
  • Leiomyoma / surgery*
  • Ligation
  • Operative Blood Salvage
  • Oxytocics / therapeutic use
  • Oxytocin / therapeutic use
  • Tourniquets
  • Tranexamic Acid / therapeutic use
  • Uterine Artery / surgery
  • Uterine Artery Embolization
  • Uterine Neoplasms / surgery*
  • Vasopressins / therapeutic use

Substances

  • Antifibrinolytic Agents
  • Hemostatics
  • Oxytocics
  • Vasopressins
  • Gonadotropin-Releasing Hormone
  • Oxytocin
  • Tranexamic Acid