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

87 Views | Sep 27, 2019

Authors: Fatemah Alhadhoud, Cici Zhu, Sukhbir Sony Singh

Affliations: University of Ottawa

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.