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Clinical and Experimental Obstetrics & Gynecology  2014, Vol. 41 Issue (4): 440-444    DOI: 10.12891/ceog16732014
Original Research Previous articles | Next articles
Effectiveness of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy
H. Alptekin1, *(), D. Efe2
1Mevlana University Hospital, Department of Obstetrics & Gynecology, Konya
2Mevlana University Hospital, Department of Radiology, Konya (Turkey)
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Abstract  
Objectıve: To evaluate effectivenes of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy. Materials and Methods: Retrospective chart review of 67 cases, with symptomatic myoma uteri and undertaken abdominal myomectomy, was performed. Myomectomy was performed in Group 1 (n = 34) by Foley catheter tourniquet around both uterin vessels and in Group 2 (n = 33) the tourniquet was not performed. Results: The average blood loss during myomectomy was 286.4 ± 137.5 ml for the tourniquet group and 673.8 ± 172.3 ml for the control group. Postoperative blood transfusion was necessary in two patients from the control group. Technique significantly reduced the intraoperative blood loss and postoperative hemoglobin fall in patients. No serious complicatins occured on account of the tourniquet technique. Conclusıons: The pericervical tourniquet by Foley catheter is a safe and effective method for reducing blood loss during abdominal myomectomy, although it should be evaluated in a randomized controlled trial.
Key words:  Abdominal myomectomy      Leiomyoma      Hemorrhage      Pericervical tourniquet     
Published:  10 August 2014     
*Corresponding Author(s):  H. ALPTEKIN     E-mail:  alptekinhusnu74@hotmail.com

Cite this article: 

H. Alptekin, D. Efe. Effectiveness of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(4): 440-444.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog16732014     OR     https://ceog.imrpress.com/EN/Y2014/V41/I4/440

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