A modified technique for hemostasis during myomectomy.
By using a rubber shod Bainbridge type vascular clamp during myomectomy, the uterine blood supply coming from the ovarian artery can be interrupted medial to the ovary, allowing for adnexal perfusion. The gap in its clamp jaws provides a space for the fallopian tube to pass through undamaged. When used in conjunction with a tourniquet on the uterine arteries, excellent hemostasis is obtained. This simple and effective technique should prove to be a useful addition to the armamentarium of the gynecologic surgeon.
DeLancey
J O
JO
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor.
D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*