Impact of Uterine and Ovarian Vessel Occlusion on Blood Loss in High Burden Minimally Invasive Myomectomy.
The University of Texas Health Science Center, Houston
Summary
This study hypothesizes that temporary bilateral uterine and utero-ovarian artery occlusion with laparoscopic clamps at time of minimally invasive myomectomy will lead to a decreased blood loss at time of myomectomy compared to minimally invasive myomectomy without temporary occlusion.
Description
Background: Leiomyomas are the most common benign tumor of the uterus and affect approximately 70-80% of the population with a uterus . Patients who opt to undergo treatment for a fibroid uterus have a variety of options including medical management, embolization, or surgical management; Historically surgical management involved hysterectomy; however, myomectomy has become more popular as a uterine sparing option. Current data supports that minimally invasive myomectomy is associated with lower morbidity and blood loss than traditional abdominal surgery. With advances in Minimally invasive myo…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Patient undergoing minimally invasive myomectomy with either a single intramural or Submucosal fibroid =/\>5cm or * Patients undergoing minimally invasive Myomectomy with =/\> 5 fibroids Exclusion Criteria: * Pregnancy, * Age \<18yo, * Patients undergoing concomitant surgery such as endometriosis surgery, * Suspected malignancy
Interventions
- OtherTemporary clamping of uterine and ovarian vessels
Surgeon will temporarily clamp uterine and ovarian vessels.
Location
- Memorial Hermann HospitalHouston, Texas