Preoperative vaginal misoprostol versus intraoperative uterine artery tourniquet during abdominal myomectomy for control blood loss in menorrhagia

الملخص EN

Background : Leiomyomas are benign uterine tumors of unknown aetiology these kinds of lesions seem to arise from myometrial transformation as a result of specific physiological and pathological conditions.

the majority of these monoclonal estrogen-dependent.

Fibroids remain the commonest pelvic tumour seen in women.

Myomectomy being the major form of treatment in our environment.

techniques to minimize blood loss will reduce patient morbidity and the need for blood transfusions such as the use of a tourniquet during myomectomy operation or preoperative use of misoprostol.

Objectives : The aim of this study is to examine the effectiveness of each method for control blood loss during abdominal myomectomy for patients with menorraghia.

Methods : This comparative interventional study had been conducted during the period from December 2013 to July 2014 in Al-Hussein hospital, Faculty of Medicine, Al-Azhar university.30 women underwent open myomectomy for symptomatic fibroids(menorrhagia).Women undergo open myomectomy were randomised to pre-operative use of misoprostol given a single dose of vaginal misoprostol (400 micrograms) an hour before the operation (Group1) and another group applied to intra operative application of uterine artery tourniquet during abdominal myomectomy (Group2) and compared blood loss between two groups obtained .

The primary outcome measure was intra-operative blood loss by counting and weighting the mops used during the operation.

Only mops will be routinely used during the operation for cleaning and clearing the operation field without use of suction apparatus.

Results : Intra operative estimated blood loss was relatively higher.