期刊论文详细信息
CVIR Endovascular
Reducing the risk of bleeding after myomectomy: is preemptive embolization a valuable tool?
article
Abrahami, Ylann1  Najid, Sophia1  Petit, Arthur2  Sauvanet, Eric1  Novelli, Luigi2 
[1] Department of Gynecologic Surgery and Obstetrics;Department of Interventional Radiology
关键词: Uterine fibroids;    Preemptive;    Uterine artery embolization;    Myomectomy;    Gelatin sponge-like particles;   
DOI  :  10.1186/s42155-021-00231-9
学科分类:计算机科学(综合)
来源: Springer
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【 摘 要 】

Abdominal myomectomy can be a challenging procedure, with elevated intraoperative blood loss and post-operative complications such as the need for blood transfusion and hemostasis with sometimes hysterectomy. Previous studies suggested that preemptive uterine artery embolization (PUAE) might reduce intraoperative blood loss. We reviewed all cases of abdominal myomectomy in our institution between January 2016 and June 2018. Out of 119 cases, 16 patients had PUAE and 103 did not. The objective of our study was to determine whereas PUAE reduced blood loss and post-operative complication rate. In our study, there was no difference between the two groups in regard to average blood loss (128 vs 192 mL, OR 1,00 [0.99;1,01], p = 0,73), difference between pre- and post-operative hemoglobin level (− 1,15 g/dL vs − 1,32 g/dL, OR 0,91 [0.47;1,73], p = 0,79), and post-operative complications (need for transfusion, surgical revision, post-operative embolization, hysterectomy). Our findings could not conclude that PUAE is effective in reducing intraoperative blood loss during abdominal myomectomy, but it should still be considered an option for patients with large or multiple myomas, with a specific situation or previously operated, who wish to preserve their uterus.

【 授权许可】

CC BY   

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