Bilateral Uterine Artery Ligation Versus Pericervical Mechanical Tourniquet Application in Reducing Intraoperative Blood Loss During Transabdominal Myomectomy

What this Trial Is About

This research aims to compare two surgical techniques to reduce blood loss during transabdominal myomectomy in women with symptomatic uterine fibroids. The study evaluates whether bilateral uterine artery ligation decreases intraoperative bleeding more effectively than the pericervical mechanical tourniquet, while monitoring for any increase in operative complications. The trial involves women scheduled for elective transabdominal myomectomy who will be randomly assigned to one of these two vascular control methods. Participants will undergo myomectomy using either bilateral uterine artery ligation or pericervical mechanical tourniquet application. In the ligation group, uterine arteries near the internal cervical os are tied with absorbable sutures before removing fibroids. In the tourniquet group, a sterile Foley catheter is tied around the cervico-isthmic region to compress vessels temporarily during surgery. Both procedures are performed by the same surgical team following standardized techniques. During surgery, blood loss is measured from surgical swabs, suctioned blood, and postoperative drainage until the second day after surgery. Researchers will assess the need for blood transfusions up to three days post-operation. Safety and recovery outcomes will also be monitored to determine which method better controls bleeding while maintaining surgical safety. Participation includes follow-up until hospital discharge and close observation of operative effects.

Reducing Blood Loss During Myomectomy:Uterine Artery Ligation Vs Pericervical Tourniquet