title: Effectiveness of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy.
abstract: OBJECTIVE
  To evaluate effectivenes of pericervical tourniquet by Foley catheter reducing blood loss at abdominal myomectomy.
  
  
  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 complications occured on account of the tourniquet technique.
  
  
  CONCLUSIONS
  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.
authors.forename: H
authors.initials: H
authors.lastname: Alptekin
authors.forename: D
authors.initials: D
authors.lastname: Efe
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006400:Hematocrit; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D014111:Tourniquets; D016896:Treatment Outcome; D063186:Uterine Myomectomy / Q000295:instrumentation / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*