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Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital

Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital. Study Miss. Shahnaz Akbar. Introduction . Myomectomy is recommended in reproductive age where fertility is mainly concerned. It gives 50% pregnancy rate and 75% subjective relief of menorrhagia.

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Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital

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  1. Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital Study Miss. Shahnaz Akbar

  2. Introduction • Myomectomy is recommended in reproductive age where fertility is mainly concerned. • It gives 50% pregnancy rate and 75% subjective relief of menorrhagia. • Though myomectomy is associated with higher morbidity than hysterectomy but by experienced surgeons it compares favourably to hysterectomy

  3. Aim and Objectives • This study was carried out to evaluate the effects of tourniquet in terms of blood loss for myomectomy. • Overall aim is to provide high quality of care for women undergoing myomectomy.

  4. Method of study • This study was a retrospective and was carried out from 1st December 2010 to 31st December 2011. • Women who had uterine size of more than 18 weeks were included. • Data collection included age, parity, menstrual pattern, presenting symptoms, medical and surgical treatment history. • Evaluation of tourniquet for myomectomy procedure was carried out. • Management outcome following myomectomy was also observed

  5. Data analysis

  6. Data analysis

  7. Data analysis

  8. Data analysis

  9. Data analysis

  10. Key findings of the Study • Our study found it to be a safe procedure and its morbidity was less to that of hysterectomy. • Febrile morbidity was found to be surprisingly low • Overall transfusion rate was less than other major procedures. • Mechanical haemostasis with tourniquet was quite satisfactory. • No major complications noted.

  11. Summary • Myomectomy, the surgical removal of myomas, can be associated with life-threatening bleeding and prolonged postoperative stay. • Knowledge of the effectiveness of the interventions to reduce bleeding during myomectomy is essential to enable evidence-based clinical decisions

  12. References • Interventions to reduce haemorrhage during myomectomy for fibroids – Cochrane Database Systems Review. 2009 Jul 8;(3):CD005355. • Chapter 11 Further interventions for uterine fibroids associated with HMB. 82. www.nice.org.uk/nicemedia/pdf/CG44FullGuideline • Uterine Fibroids: Embolization and Other Treatments by Togas Tulandi.

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