1 / 12

Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital

Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital. Study Miss. Shahnaz Akbar. Introduction . Myomectomy is recommended in reproductive age where fertility is mainly concerned. It gives 50% pregnancy rate and 75% subjective relief of menorrhagia.

shyla
Download Presentation

Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mechanical Haemostasis by Tourniquet for Myomectomy in Acute District Hospital Study Miss. Shahnaz Akbar

  2. Introduction • Myomectomy is recommended in reproductive age where fertility is mainly concerned. • It gives 50% pregnancy rate and 75% subjective relief of menorrhagia. • Though myomectomy is associated with higher morbidity than hysterectomy but by experienced surgeons it compares favourably to hysterectomy

  3. Aim and Objectives • This study was carried out to evaluate the effects of tourniquet in terms of blood loss for myomectomy. • Overall aim is to provide high quality of care for women undergoing myomectomy.

  4. Method of study • This study was a retrospective and was carried out from 1st December 2010 to 31st December 2011. • Women who had uterine size of more than 18 weeks were included. • Data collection included age, parity, menstrual pattern, presenting symptoms, medical and surgical treatment history. • Evaluation of tourniquet for myomectomy procedure was carried out. • Management outcome following myomectomy was also observed

  5. Data analysis

  6. Data analysis

  7. Data analysis

  8. Data analysis

  9. Data analysis

  10. Key findings of the Study • Our study found it to be a safe procedure and its morbidity was less to that of hysterectomy. • Febrile morbidity was found to be surprisingly low • Overall transfusion rate was less than other major procedures. • Mechanical haemostasis with tourniquet was quite satisfactory. • No major complications noted.

  11. Summary • Myomectomy, the surgical removal of myomas, can be associated with life-threatening bleeding and prolonged postoperative stay. • Knowledge of the effectiveness of the interventions to reduce bleeding during myomectomy is essential to enable evidence-based clinical decisions

  12. References • Interventions to reduce haemorrhage during myomectomy for fibroids – Cochrane Database Systems Review. 2009 Jul 8;(3):CD005355. • Chapter 11 Further interventions for uterine fibroids associated with HMB. 82. www.nice.org.uk/nicemedia/pdf/CG44FullGuideline • Uterine Fibroids: Embolization and Other Treatments by Togas Tulandi.

More Related