Proximal Uterine Artery Ligation: Navigating Anatomical Distortion of Large Fibroids During Hysterectomy

Apr 15, 2019 | 213 Views

Wilson Chan, Chandrew Rajakumar

This video outlines a technique for performing ligation of the proximal uterine arteries. This is a technique that can be used to mitigate blood loss during hysterectomy.

Intraoperative Strategies to Minimize Blood Loss During Myomectomy

Sep 27, 2019 | 229 Views

Alysha Nensi, Deborah Robertson

Myomectomy is a common procedure performed by gynecologists for the conservative management of leiomyomas (fibroids). The surgical removal of fibroids can be associated with significant intraoperative blood loss and subsequent blood transfusion, which is an important morbidity associated with this elective procedure in reproductive-aged women. This video demonstrates various evidence-based strategies aimed at minimizing surgical bleeding during myomectomy. Techniques covered in this presentation include: (1) Preoperative use of medications such as vaginal/rectal misoprostal and intravenous tranexamic acid, (2) Intramyometrial injection of dilute vasopressin and (3) Temporary uterine artery occlusion with pericervical tourniquet. We demonstrate how these techniques can be used to minimize blood loss during abdominal, laparoscopic and robotic myomectomy.

Temporary Uterine Artery Occlusion at Laparoscopic Myomectomy - A Simple Technique to Reduce Blood Loss

Sep 27, 2019 | 206 Views

Fatemah Alhadhoud, Cici Zhu, Sukhbir Sony Singh

The objective of this video is to demonstrate a simple, temporary and reversible method for uterine artery occlusion at the time of laparoscopic myomectomy. A 42 yo G0 presented with a solitary, vascular uterine fibroid. her signs & symptoms were heavy menstrual bleeding, pressure symptoms and abdominal bloating.Because the patient desired fertility, laparoscopic myomectomy was done with intra-operative approaches to minimize blood loss; including reversible uterine artery occlusion using bulldog clamps, vasopressin, tranexamic acid and misoprostol.