title: Techniques to reduce blood loss during open myomectomy: a qualitative review of literature.
abstract: Open myomectomy is the most adopted surgical strategy in the conservative treatment of uterine fibroids. According to several studies, the likelihood that a woman could develop uterine myomas is estimated around 75% by the age of 50. Open myomectomy is nonetheless a complicated surgery in terms of blood loss and need for transfusion. Many strategies have been published with the aim of limiting intra and post-operative bleeding complications. The scope of this review is to describe in detail the different techniques reported in literature focusing on their validity and safety.
authors.affiliation: University Department of Neuroscience, Reproductive Medicine, Odontostomatology - University of Naples "Federico II", Naples, Italy. Electronic address: confale@hotmail.it.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Conforti
authors.affiliation: University Department of Neuroscience, Reproductive Medicine, Odontostomatology - University of Naples "Federico II", Naples, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Mollo
authors.affiliation: University Department of Neuroscience, Reproductive Medicine, Odontostomatology - University of Naples "Federico II", Naples, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Alviggi
authors.affiliation: University Department of Obstetrics and Gynaecology, Royal Free Hospital, London NW3 2QG, United Kingdom.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Tsimpanakos
authors.affiliation: University Department of Neuroscience, Reproductive Medicine, Odontostomatology - University of Naples "Federico II", Naples, Italy.
authors.forename: Ida
authors.initials: I
authors.lastname: Strina
authors.affiliation: University Department of Obstetrics and Gynaecology, Royal Free Hospital, London NW3 2QG, United Kingdom.
authors.forename: Adam
authors.initials: A
authors.lastname: Magos
authors.affiliation: University Department of Neuroscience, Reproductive Medicine, Odontostomatology - University of Naples "Federico II", Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: De Placido
mesh_terms: D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006488:Hemostasis, Surgical / Q000379:methods*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D007889:Leiomyoma / Q000601:surgery*; D008026:Ligation; D057725:Operative Blood Salvage; D010120:Oxytocics / Q000627:therapeutic use; D010121:Oxytocin / Q000627:therapeutic use; D014111:Tourniquets; D014148:Tranexamic Acid / Q000627:therapeutic use; D055988:Uterine Artery / Q000601:surgery; D055357:Uterine Artery Embolization; D014594:Uterine Neoplasms / Q000601:surgery*; D014667:Vasopressins / Q000627:therapeutic use
chemical_list: D000933:Antifibrinolytic Agents; D006490:Hemostatics; D010120:Oxytocics; D014667:Vasopressins; D007987:Gonadotropin-Releasing Hormone; D010121:Oxytocin; D014148:Tranexamic Acid
keywords: Haemorrhage; Open myomectomy; Surgery; Uterine fibroids